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PAYER POLICY CHANGES

E0767 Insurance Policy Changes

HCPCS E0767 is officially defined as "Intrabuccal, systemic delivery of amplitude-modulated, radiofrequency electromagnetic field device, for cancer treatment, includes all accessories." HCPCS E0767 is referenced in 20 tracked payer policy changes from Anthem BCBS, UnitedHealthcare, and 5 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS E0767 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

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REFERENCE DATA

Payers with rules12
Payers requiring prior auth12
  • Anthem BCBS · Effective November 1, 2026

    Prior authorization required

    Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial)

  • Colorado Medicaid · Effective July 1, 2026

    Prior authorization required

    Colorado Health First Colorado Fee Schedule (Prior Authorization Needed column)

  • Florida Blue · Effective March 27, 2026

    Prior authorization required

    Prior Authorization List: HMO – Marketplace Qualified Health Plans

FREQUENTLY ASKED QUESTIONS

Does Ambetter require prior authorization for E0767?

Ambetter lists E0767 on Ambetter from Arizona Complete Health CMS-0057-F prior authorization requirements for exchange plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does AmeriHealth Caritas require prior authorization for E0767?

AmeriHealth Caritas lists E0767 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does Anthem BCBS require prior authorization for E0767?

Anthem BCBS lists E0767 on Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial) for commercial plans (list dated November 1, 2026). Verify with the payer before scheduling.

Does Arizona Complete Health require prior authorization for E0767?

Arizona Complete Health lists E0767 on Arizona Complete Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does BCBS Michigan require prior authorization for E0767?

BCBS Michigan lists E0767 on BCBSM and BCN procedure codes for which providers must request prior authorization (commercial lines) for commercial plans, with conditions (list dated October 13, 2026). Verify with the payer before scheduling.

What insurance policy changes affect HCPCS E0767?

There are 20 tracked policy changes affecting HCPCS E0767, including updates from Anthem BCBS, UnitedHealthcare, Medicare/CMS - Transmittals. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS E0767?

Payers that have issued tracked updates for HCPCS E0767 include: Anthem BCBS, UnitedHealthcare, Medicare/CMS - Transmittals, HealthPartners, Aetna, Blue Cross & Blue Shield of Mississippi, Premera Blue Cross.

How do I get notified when HCPCS E0767 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS E0767. You will get an email when new policy changes reference this code: daily or weekly, your choice, on every plan.

Why do payers change policies for HCPCS E0767?

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.

See every payer rule for E0767

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for E0767 in one place.

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