Question 1

What insurance policy changes affect CPT 99485?

Accepted Answer

There are 2 tracked policy changes affecting CPT 99485, including updates from Highmark. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 99485?

Accepted Answer

Payers that have issued tracked updates for CPT 99485 include: Highmark.

Question 3

How do I get notified when CPT 99485 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 99485. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 99485?

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.

99485 Insurance Policy Changes

New and Updated Reimbursement Policies – February 2026

New and Updated Reimbursement Policies – April 2026