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PAYER POLICY CHANGES

93978 Insurance Policy Changes

CPT 93978, in plain terms, covers Complete duplex ultrasound of abdominal aorta, inferior vena cava, iliac vessels, or related bypass grafts. CPT 93978 is referenced in 1 tracked payer policy change from Medicare/CMS - LCD. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 93978 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 93978 on AAPC

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REFERENCE DATA

Payers with rules6
Payers requiring prior auth6
  • Anthem BCBS · Effective November 1, 2026

    Prior authorization required

    Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial)

  • BCBS Michigan · Effective October 13, 2026

    Prior authorization required in some cases

    BCBSM and BCN procedure codes for which providers must request prior authorization (commercial lines)

  • CountyCare Health Plan · Effective April 23, 2026

    Prior authorization required in some cases

    CountyCare Prior Authorization Look-Up Tool (All Codes)

FREQUENTLY ASKED QUESTIONS

Does Anthem BCBS require prior authorization for 93978?

Anthem BCBS lists 93978 on Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial) for commercial plans (list dated November 1, 2026). Verify with the payer before scheduling.

Does BCBS Michigan require prior authorization for 93978?

BCBS Michigan lists 93978 on BCBSM and BCN procedure codes for which providers must request prior authorization (commercial lines) for commercial plans, with conditions (list dated October 13, 2026). Verify with the payer before scheduling.

Does CalViva Health require prior authorization for 93978?

CalViva Health lists 93978 on CalViva Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Community Health Plan of Imperial Valley require prior authorization for 93978?

Community Health Plan of Imperial Valley lists 93978 on Community Health Plan of Imperial Valley CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does CountyCare Health Plan require prior authorization for 93978?

CountyCare Health Plan lists 93978 on CountyCare Prior Authorization Look-Up Tool (All Codes) for medicaid managed plans, with conditions (list dated April 23, 2026). Verify with the payer before scheduling.

What insurance policy changes affect CPT 93978?

There are 1 tracked policy change affecting CPT 93978, including updates from Medicare/CMS - LCD. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 93978?

Payers that have issued tracked updates for CPT 93978 include: Medicare/CMS - LCD.

How do I get notified when CPT 93978 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 93978. You will get an email when new policy changes reference this code: daily or weekly, your choice, on every plan.

Why do payers change policies for CPT 93978?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

See every payer rule for 93978

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 93978 in one place.

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