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PAYER POLICY CHANGES

45126 Insurance Policy Changes

CPT 45126, in plain terms, covers Pelvic exenteration for colorectal cancer, removing the rectum along with the bladder and/or uterus and nearby pelvic organs as needed. No tracked policy changes reference CPT 45126 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 45126 on AAPC

No policies yet

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

Watch 45126

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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 45126?

CalViva Health lists 45126 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 45126?

Community Health Plan of Imperial Valley lists 45126 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 45126?

No policy changes affecting CPT 45126 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for CPT 45126?

No payer-specific updates have been tracked for CPT 45126 yet.

How do I get notified when CPT 45126 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 45126. 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 45126?

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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