Prior Authorization Changes: One Code Added and Nine Removed

DEADLINE: By August 15, 2026 – Billing team must update prior authorization workflows to REMOVE requirements for CPT codes 35301, 37215, 37216, 37217, 37218, 92937, 92943, 92920, and 92928. These vascular and cardiac surgery codes no longer require prior auth effective September 1, 2026. Update billing system rules, EMR templates, and provider alerts. DEADLINE: By October 15, 2026 – Billing team must update prior authorization workflows to ADD CPT code 70471 (CT angiography, head and neck with contrast) to the prior authorization requirement list, effective November 1, 2026. Update billing system, payer verification tools, and front desk check-in procedures. Ensure all claims for removed codes after Sept 1 are billed without auth requests to avoid payment delays. Ensure all claims for code 70471 on or after Nov 1 include prior authorization or will face denial.