Question 1

What insurance policy changes affect CPT 99173?

Accepted Answer

There are 1 tracked policy change affecting CPT 99173, including updates from Louisiana Medicaid. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 99173?

Accepted Answer

Payers that have issued tracked updates for CPT 99173 include: Louisiana Medicaid.

Question 3

How do I get notified when CPT 99173 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 99173. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 99173?

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.

99173 Insurance Policy Changes

Notice to Local Educational Agency (LEA) Providers - Procedure Code 99173 – EPSDT Vision Screening Rate Correction