96380 Insurance Policy Changes

CPT 96380, in plain terms, covers A doctor gives you an injection of a single antibody medication to help fight infection or disease. CPT 96380 is referenced in 4 tracked payer policy changes from Colorado Medicaid, Texas Medicaid, and 2 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 96380 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 96380 on AAPC