Question 1

What insurance policy changes affect CPT 99091?

Accepted Answer

There are 2 tracked policy changes affecting CPT 99091, including updates from Blue Cross NC, Maryland Medicaid. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 99091?

Accepted Answer

Payers that have issued tracked updates for CPT 99091 include: Blue Cross NC, Maryland Medicaid.

Question 3

How do I get notified when CPT 99091 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 99091. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 99091?

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.

99091 Insurance Policy Changes

Medical Policy Update July 15, 2026

Update to Reimbursement for Remote Patient Monitoring Services: Self-Measured Blood Pressure Codes