What insurance policy changes affect code I80.10?

There are 2 tracked policy changes affecting code I80.10, including updates from Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for code I80.10?

Payers that have issued tracked updates for code I80.10 include: Aetna.

How do I get notified when code I80.10 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to code I80.10. 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 code I80.10?

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.

PAYER POLICY CHANGES

I80.10 Insurance Policy Changes

ICD-10 I80.10 is officially defined as "Phlebitis and thrombophlebitis of unspecified femoral vein." code I80.10 is referenced in 2 tracked payer policy changes from Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for code I80.10 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Only a small number of policies match this filter. Check back as coverage expands.

Aetna · Identified Oct 1, 2026Medium impact
Balloon-Expandable Venous Stents (CPB 0531, reviewed 2026-08-27)
Aetna considers placement of balloon-expandable venous stents, with or without initial thrombolysis or surgical thrombectomy, medically necessary for Budd-Chiari syndrome, chronic iliac vein occlusions, chronic ilio-caval vein obstruction, ilio-femoral thrombosis secondary to iliac compression syndrome, ilio-femoral venous obstructive disease, post-operative venous narrowing after repair of sinus venosus atrial septal defect, salvage of thrombosed or stenotic arterio-venous dialysis access grafts, superior or inferior vena caval stenosis in a child or adult, symptomatic pelvic venous spurs (May-Thurner syndrome), and venous obstruction of the superior or inferior limb of an atrial baffle after Mustard or Senning repair. Venous stenting is also medically necessary for superior vena cava occlusive disease. Balloon-expandable venous stents are experimental, investigational, or unproven for all other indications, including management of central vein stenosis in hemodialysis individuals and porto-mesenteric and porto-systemic venous reconstruction.
Aetna · Identified Aug 12, 2026Medium impact
AcuTect Scintigraphic Imaging for Detection of Lower Limb Deep Vein Thrombosis (CPB 0414, reviewed 2026-07-09)
Aetna considers AcuTect scintigraphic imaging for detection and localization of lower extremity deep vein thrombosis experimental, investigational, or unproven, because its clinical value in managing suspected DVT has not been clearly established. CPT 78456 is listed as not covered for the indications in this bulletin. Other related codes listed are CPT 75820, 75822, 78457, 78458 and HCPCS A9504.

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Balloon-Expandable Venous Stents (CPB 0531, reviewed 2026-08-27)

AcuTect Scintigraphic Imaging for Detection of Lower Limb Deep Vein Thrombosis (CPB 0414, reviewed 2026-07-09)

What insurance policy changes affect code I80.10?

Which payers have updated policy for code I80.10?

How do I get notified when code I80.10 policy changes?

Why do payers change policies for code I80.10?