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PAYER POLICY CHANGES

57111 Insurance Policy Changes

CPT 57111, in plain terms, covers Complete removal of the entire vaginal wall together with the surrounding paravaginal tissue, a radical procedure usually for cancer. No tracked policy changes reference CPT 57111 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 57111 on AAPC

No policies yet

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

Watch 57111

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REFERENCE DATA

Payers with rules10
Payers requiring prior auth10
  • Aetna · Effective November 1, 2026

    Prior authorization required

    Participating provider precertification list for Aetna

  • Blue Shield of California · Effective November 1, 2026

    Prior authorization required

    Prior Authorization List for Blue Shield Medicare

  • BCBS Illinois · Effective October 1, 2026

    Prior authorization required in some cases

    Blue Cross Community Health Plans (Illinois Medicaid) Prior Authorization Code List

FREQUENTLY ASKED QUESTIONS

Does Aetna require prior authorization for 57111?

Aetna lists 57111 on Participating provider precertification list for Aetna for commercial plans (list dated November 1, 2026). Verify with the payer before scheduling.

Does Ambetter require prior authorization for 57111?

Ambetter lists 57111 on Ambetter from Arizona Complete Health CMS-0057-F prior authorization requirements for exchange plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does AmeriHealth Caritas require prior authorization for 57111?

AmeriHealth Caritas lists 57111 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does Arizona Complete Health require prior authorization for 57111?

Arizona Complete Health lists 57111 on Arizona Complete Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does BCBS Illinois require prior authorization for 57111?

BCBS Illinois lists 57111 on Blue Cross Community Health Plans (Illinois Medicaid) Prior Authorization Code List for medicaid managed plans, with conditions (list dated October 1, 2026). Verify with the payer before scheduling.

What insurance policy changes affect CPT 57111?

No policy changes affecting CPT 57111 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for CPT 57111?

No payer-specific updates have been tracked for CPT 57111 yet.

How do I get notified when CPT 57111 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 57111. 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 57111?

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 57111

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 57111 in one place.

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