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PAYER POLICY CHANGES

57426 Insurance Policy Changes

CPT 57426, in plain terms, covers Surgically repairing or adjusting an artificial vaginal graft using minimally invasive laparoscopic techniques. No tracked policy changes reference CPT 57426 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 57426 on AAPC

No policies yet

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

Watch 57426

Get one email when a payer policy names 57426, 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 rules8
Payers requiring prior auth8
  • 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

  • BCBS New Mexico · Effective October 1, 2026

    Prior authorization required in some cases

    BCBSNM Turquoise Care (New Mexico Medicaid) Preauthorization Procedure Code List

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for 57426?

AmeriHealth Caritas lists 57426 on AmeriHealth Caritas Louisiana Act 233 prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does Anthem BCBS require prior authorization for 57426?

Anthem BCBS lists 57426 on Virginia Local Precertification/Prior Authorization List (HMO & EPO) for commercial plans, with conditions (list dated September 1, 2026). Verify with the payer before scheduling.

Does Arizona Complete Health require prior authorization for 57426?

Arizona Complete Health lists 57426 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 57426?

BCBS Illinois lists 57426 on 2026 Commercial Outpatient Medical Surgical Prior Authorization Codes for commercial plans, with conditions (list dated January 1, 2026). Verify with the payer before scheduling.

Does BCBS New Mexico require prior authorization for 57426?

BCBS New Mexico lists 57426 on BCBSNM Turquoise Care (New Mexico Medicaid) Preauthorization Procedure 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 57426?

No policy changes affecting CPT 57426 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for CPT 57426?

No payer-specific updates have been tracked for CPT 57426 yet.

How do I get notified when CPT 57426 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 57426. 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 57426?

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 57426

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 57426 in one place.

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