Question 1

What insurance policy changes affect CPT 99366?

Accepted Answer

There are 2 tracked policy changes affecting CPT 99366, including updates from SC Medicaid - SCDHHS, Nevada Medicaid. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 99366?

Accepted Answer

Payers that have issued tracked updates for CPT 99366 include: SC Medicaid - SCDHHS, Nevada Medicaid.

Question 3

How do I get notified when CPT 99366 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 99366. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 99366?

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.

99366 Insurance Policy Changes

Rehabilitative Behavioral Health and Substance Use Services Rate Increases

Attention Provider Type 60 (School Health Services): Ordering, Prescribing and Referring Requirements Updated