Question 1

What insurance policy changes affect CPT 98972?

Accepted Answer

There are 2 tracked policy changes affecting CPT 98972, including updates from Medical Mutual of Ohio, Blue Cross Blue Shield of Rhode Island. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 98972?

Accepted Answer

Payers that have issued tracked updates for CPT 98972 include: Medical Mutual of Ohio, Blue Cross Blue Shield of Rhode Island.

Question 3

How do I get notified when CPT 98972 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 98972. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 98972?

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.

98972 Insurance Policy Changes

Mutual News Q2 2021 Newsletter

Additional CPT and HCPCS Level II code changes