Question 1

What insurance policy changes affect CPT 36513?

Accepted Answer

There are 1 tracked policy change affecting CPT 36513, including updates from Sentara Health Plans. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 36513?

Accepted Answer

Payers that have issued tracked updates for CPT 36513 include: Sentara Health Plans.

Question 3

How do I get notified when CPT 36513 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 36513. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 36513?

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.

36513 Insurance Policy Changes

Summer 2025 Authorization Updates