Navigating Highmark's Reimbursement Shift
Important Update on CPT 97124 Coverage
Discover the latest changes to Highmark’s reimbursement policies affecting CPT 97124 and learn how it impacts your practice.
Understanding the Reimbursement Change
Highmark's New Policy on CPT 97124
Effective October 26, 2026, Highmark will cease reimbursement for CPT 97124 under specific plans in Pennsylvania, Delaware, West Virginia, and New York. This change affects certain Federal Employee Program plans as well. Practices must be aware of these alterations to ensure compliance and maintain financial stability.