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PAYER POLICY CHANGES

44121 Insurance Policy Changes

CPT 44121, in plain terms, covers Add-on for every further segment of small intestine removed and reconnected during the same open operation, billed with the primary resection. CPT 44121 is referenced in 1 tracked payer policy change from Excellus BlueCross BlueShield. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 44121 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 44121 on AAPC

Watch 44121

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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 44121?

CalViva Health lists 44121 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 44121?

Community Health Plan of Imperial Valley lists 44121 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 44121?

There are 1 tracked policy change affecting CPT 44121, including updates from Excellus BlueCross BlueShield. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 44121?

Payers that have issued tracked updates for CPT 44121 include: Excellus BlueCross BlueShield.

How do I get notified when CPT 44121 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 44121. 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 44121?

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 44121

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 44121 in one place.

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