Question 1

What insurance policy changes affect CPT 61797?

Accepted Answer

There are 4 tracked policy changes affecting CPT 61797, including updates from Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 61797?

Accepted Answer

Payers that have issued tracked updates for CPT 61797 include: Aetna.

Question 3

How do I get notified when CPT 61797 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 61797. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 61797?

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.

61797 Insurance Policy Changes

Headaches: Invasive Procedures (CPB 0707, reviewed 2026-07-23)

Inpatient Admission Prior to Surgery (Preop Days) (CPB 0255, reviewed 2026-05-13)

Stereotactic Radiosurgery (CPB 0083, reviewed 2026-03-11)

Epilepsy Surgery (CPB 0394, reviewed 2026-06-23)