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PAYER POLICY CHANGES

27078 Insurance Policy Changes

CPT 27078, in plain terms, covers The surgeon widely cuts out a tumor along with surrounding tissue at the sit bone of the pelvis, the ischial tuberosity, together with the greater trochanter of the femur. No tracked policy changes reference CPT 27078 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 27078 on AAPC

No policies yet

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

Watch 27078

Get one email when a payer policy names 27078, 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 27078?

CalViva Health lists 27078 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 27078?

Community Health Plan of Imperial Valley lists 27078 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 27078?

No policy changes affecting CPT 27078 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for CPT 27078?

No payer-specific updates have been tracked for CPT 27078 yet.

How do I get notified when CPT 27078 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 27078. 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 27078?

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.

See every payer rule for 27078

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 27078 in one place.

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