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PAYER POLICY CHANGES

49452 Insurance Policy Changes

CPT 49452, in plain terms, covers Physician replaces an existing percutaneous gastro-jejunal tube with a new tube. No tracked policy changes reference CPT 49452 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 49452 on AAPC

No policies yet

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

Watch 49452

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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 49452?

CalViva Health lists 49452 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 49452?

Community Health Plan of Imperial Valley lists 49452 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 49452?

No policy changes affecting CPT 49452 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for CPT 49452?

No payer-specific updates have been tracked for CPT 49452 yet.

How do I get notified when CPT 49452 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 49452. 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 49452?

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 49452 in one place.

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