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PAYER POLICY CHANGES

27245 Insurance Policy Changes

CPT 27245, in plain terms, covers The surgeon fixes a break in the upper thigh bone near the hip, intertrochanteric, peritrochanteric, or subtrochanteric, by driving a rod down the marrow canal. Locking screws are included if placed. No tracked policy changes reference CPT 27245 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 27245 on AAPC

No policies yet

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

Watch 27245

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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 27245?

CalViva Health lists 27245 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 27245?

Community Health Plan of Imperial Valley lists 27245 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 27245?

No policy changes affecting CPT 27245 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for CPT 27245?

No payer-specific updates have been tracked for CPT 27245 yet.

How do I get notified when CPT 27245 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 27245. 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 27245?

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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Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 27245 in one place.

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