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PAYER POLICY CHANGES

49492 Insurance Policy Changes

CPT 49492, in plain terms, covers Repair of an initial incarcerated or strangulated inguinal hernia in a preterm infant born before 37 weeks, done up to 50 weeks postconception age. No tracked policy changes reference CPT 49492 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 49492 on AAPC

No policies yet

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

Watch 49492

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REFERENCE DATA

Payers with rules3
Payers requiring prior auth3
  • 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

  • Fidelis Care · Effective December 31, 2025

    Prior authorization required

    Fidelis Care CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does CalViva Health require prior authorization for 49492?

CalViva Health lists 49492 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 49492?

Community Health Plan of Imperial Valley lists 49492 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.

Does Fidelis Care require prior authorization for 49492?

Fidelis Care lists 49492 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 49492?

No policy changes affecting CPT 49492 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for CPT 49492?

No payer-specific updates have been tracked for CPT 49492 yet.

How do I get notified when CPT 49492 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 49492. 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 49492?

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 49492 in one place.

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