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PAYER POLICY CHANGES

26118 Insurance Policy Changes

CPT 26118, in plain terms, covers Surgeon removes a hand tumor with margins, measuring 3 cm or larger. No tracked policy changes reference CPT 26118 yet. New payer updates are added daily, so check back soon or create a free alert to be notified the moment a change affects this code.

Official descriptor: CPT 26118 on AAPC

No policies yet

No tracked policy changes match this filter yet. New policies are added daily.

Watch 26118

Get one email when a payer policy names 26118, a payer adds or drops it from a prior auth list, or Medicare changes its NCCI pairs, unit limit, payment or coverage articles.

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REFERENCE DATA

Payers with rules2
Payers requiring prior auth2
  • CalViva Health · Effective December 31, 2025

    Prior authorization required

    CalViva Health CMS-0057-F prior authorization requirements

  • Community Health Plan of Imperial Valley · Effective December 31, 2025

    Prior authorization required

    Community Health Plan of Imperial Valley CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does CalViva Health require prior authorization for 26118?

CalViva Health lists 26118 on CalViva Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Community Health Plan of Imperial Valley require prior authorization for 26118?

Community Health Plan of Imperial Valley lists 26118 on Community Health Plan of Imperial Valley CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

What insurance policy changes affect CPT 26118?

No policy changes affecting CPT 26118 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for CPT 26118?

No payer-specific updates have been tracked for CPT 26118 yet.

How do I get notified when CPT 26118 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 26118. You will get an email when new policy changes reference this code: daily or weekly, your choice, on every plan.

Why do payers change policies for CPT 26118?

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.

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