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PAYER POLICY CHANGES

27140 Insurance Policy Changes

CPT 27140, in plain terms, covers Cutting the greater trochanter of the femur free and moving it to a new position. Report it only when this is the primary work, not part of a larger hip procedure. CPT 27140 is referenced in 6 tracked payer policy changes from Excellus BlueCross BlueShield and Premera Blue Cross. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 27140 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 27140 on AAPC

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REFERENCE DATA

Payers with rules3
Payers requiring prior auth3
  • 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

  • Fidelis Care · Effective December 31, 2025

    Prior authorization required

    Fidelis Care CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does CalViva Health require prior authorization for 27140?

CalViva Health lists 27140 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 27140?

Community Health Plan of Imperial Valley lists 27140 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.

Does Fidelis Care require prior authorization for 27140?

Fidelis Care lists 27140 on Fidelis Care 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 27140?

There are 6 tracked policy changes affecting CPT 27140, including updates from Excellus BlueCross BlueShield, Premera Blue Cross. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 27140?

Payers that have issued tracked updates for CPT 27140 include: Excellus BlueCross BlueShield, Premera Blue Cross.

How do I get notified when CPT 27140 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 27140. 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 27140?

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 27140

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 27140 in one place.

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