Question 1

What insurance policy changes affect CPT 99426?

Accepted Answer

There are 4 tracked policy changes affecting CPT 99426, including updates from Blue Cross Blue Shield of Rhode Island. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 99426?

Accepted Answer

Payers that have issued tracked updates for CPT 99426 include: Blue Cross Blue Shield of Rhode Island.

Question 3

How do I get notified when CPT 99426 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 99426. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 99426?

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.

99426 Insurance Policy Changes

Transitional Care Management, Chronic Care Management, and Principal Care Management services

Transitional care management, chronic care management, and principal care management services

Transitional Care Management, Chronic Care Management, and Principal Care Management services

Transitional care management, chronic care management, and principal care management services