Question 1

What insurance policy changes affect CPT 77047?

Accepted Answer

There are 3 tracked policy changes affecting CPT 77047, including updates from Humana, Sentara Health Plans, Texas Medicaid. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 77047?

Accepted Answer

Payers that have issued tracked updates for CPT 77047 include: Humana, Sentara Health Plans, Texas Medicaid.

Question 3

How do I get notified when CPT 77047 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 77047. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 77047?

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.

77047 Insurance Policy Changes

Breast Imaging - Medicare Advantage (Revised)

Authorization Updates - Effective May 1, 2026

Updates to Prior Authorization for Services and Clinician-Administered Drug Benefits for HTW/HTW Plus