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PAYER POLICY CHANGES

51925 Insurance Policy Changes

CPT 51925, in plain terms, covers Surgeon repairs a fistula between the bladder and uterus through an abdominal approach and removes the uterus in the same operation. No tracked policy changes reference CPT 51925 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 51925 on AAPC

No policies yet

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

Watch 51925

Get one email when a payer policy names 51925, a payer adds or drops it from a prior auth list, or Medicare changes its NCCI pairs, unit limit, payment or coverage articles.

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REFERENCE DATA

Payers with rules5
Payers requiring prior auth5
  • Blue Shield of California · Effective November 1, 2026

    Prior authorization required

    Prior Authorization List for Blue Shield Medicare

  • CalViva Health · Effective December 31, 2025

    Prior authorization required

    CalViva Health CMS-0057-F prior authorization requirements

  • Centene · Effective December 31, 2025

    Prior authorization required

    Sunshine Health Title XIX, Title XXI, Managed Medical Assistance CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for 51925?

AmeriHealth Caritas lists 51925 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does Blue Shield of California require prior authorization for 51925?

Blue Shield of California lists 51925 on Prior Authorization List for Blue Shield of California for commercial plans (list dated October 1, 2026). Verify with the payer before scheduling.

Does CalViva Health require prior authorization for 51925?

CalViva Health lists 51925 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 Centene require prior authorization for 51925?

Centene lists 51925 on Sunshine Health Title XIX, Title XXI, Managed Medical Assistance 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 51925?

Community Health Plan of Imperial Valley lists 51925 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 51925?

No policy changes affecting CPT 51925 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for CPT 51925?

No payer-specific updates have been tracked for CPT 51925 yet.

How do I get notified when CPT 51925 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 51925. 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 51925?

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 51925

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 51925 in one place.

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