Question 1

What insurance policy changes affect CPT 98968?

Accepted Answer

There are 3 tracked policy changes affecting CPT 98968, including updates from Oregon Health Plan, Harvard Pilgrim Health Care, South Dakota Medicaid. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 98968?

Accepted Answer

Payers that have issued tracked updates for CPT 98968 include: Oregon Health Plan, Harvard Pilgrim Health Care, South Dakota Medicaid.

Question 3

How do I get notified when CPT 98968 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 98968. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 98968?

Accepted Answer

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.

98968 Insurance Policy Changes

Behavioral Health Fee Schedule rate adjustments effective Jan. 1, 2026

Updates to Early Intervention coverage and billing

Evaluation and Management Audio-Only Billing Updates