Question 1

What insurance policy changes affect CPT 99464?

Accepted Answer

There are 2 tracked policy changes affecting CPT 99464, including updates from Oregon Health Plan. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 99464?

Accepted Answer

Payers that have issued tracked updates for CPT 99464 include: Oregon Health Plan.

Question 3

How do I get notified when CPT 99464 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 99464. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 99464?

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.

99464 Insurance Policy Changes

Notice of intent: OHA will amend the Medicaid State Plan to increase the rate for two newborn procedure codes.

Notice of intent – OHA will amend the Medicaid State Plan to increase fee-for-service primary care rates.