Question 1

What insurance policy changes affect CPT 37242?

Accepted Answer

There are 4 tracked policy changes affecting CPT 37242, including updates from Blue Cross Blue Shield of Rhode Island, Aetna, Blue Cross Blue Shield of North Dakota. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 37242?

Accepted Answer

Payers that have issued tracked updates for CPT 37242 include: Blue Cross Blue Shield of Rhode Island, Aetna, Blue Cross Blue Shield of North Dakota.

Question 3

How do I get notified when CPT 37242 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 37242. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 37242?

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.

37242 Insurance Policy Changes

Medical policy updates

Benign Prostatic Hyperplasia (CPB 0079, reviewed 2026-04-15)

Medical Policy Updates

Ablation of Hepatic Lesions (CPB 0274, reviewed 2026-06-08)