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PAYER POLICY CHANGES

49491 Insurance Policy Changes

CPT 49491, in plain terms, covers First-time repair of a reducible inguinal hernia in an infant born before 37 weeks, done up to 50 weeks after conception. No tracked policy changes reference CPT 49491 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 49491 on AAPC

No policies yet

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

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REFERENCE DATA

Payers with rules1
Payers requiring prior auth1
  • Fidelis Care · Effective December 31, 2025

    Prior authorization required

    Fidelis Care CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does Fidelis Care require prior authorization for 49491?

Fidelis Care lists 49491 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 49491?

No policy changes affecting CPT 49491 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for CPT 49491?

No payer-specific updates have been tracked for CPT 49491 yet.

How do I get notified when CPT 49491 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 49491. 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 49491?

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 49491

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 49491 in one place.

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