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PAYER POLICY CHANGES

57423 Insurance Policy Changes

CPT 57423, in plain terms, covers Physician repairs a paravaginal defect through a laparoscope, reattaching the vaginal wall support to the pelvic sidewall to correct anterior prolapse. No tracked policy changes reference CPT 57423 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 57423 on AAPC

No policies yet

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

Watch 57423

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REFERENCE DATA

Payers with rules3
Payers requiring prior auth3
  • Anthem BCBS · Effective October 19, 2026

    Prior authorization required

    Anthem local precertification/prior authorization list (Colorado | Anthem Blue Cross and Blue Shield | Commercial)

  • 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 Anthem BCBS require prior authorization for 57423?

Anthem BCBS lists 57423 on Anthem local precertification/prior authorization list (Colorado | Anthem Blue Cross and Blue Shield | Commercial) for commercial plans (list dated October 19, 2026). Verify with the payer before scheduling.

Does CalViva Health require prior authorization for 57423?

CalViva Health lists 57423 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 57423?

Community Health Plan of Imperial Valley lists 57423 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 57423?

No policy changes affecting CPT 57423 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for CPT 57423?

No payer-specific updates have been tracked for CPT 57423 yet.

How do I get notified when CPT 57423 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 57423. 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 57423?

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 57423 in one place.

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