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PAYER POLICY CHANGES

59135 Insurance Policy Changes

No tracked policy changes reference CPT 59135 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.

No policies yet

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

Watch 59135

Get one email when a payer policy names 59135, 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 rules2
Payers requiring prior auth2
  • 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 59135?

AmeriHealth Caritas lists 59135 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does Centene require prior authorization for 59135?

Centene lists 59135 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.

What insurance policy changes affect CPT 59135?

No policy changes affecting CPT 59135 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for CPT 59135?

No payer-specific updates have been tracked for CPT 59135 yet.

How do I get notified when CPT 59135 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 59135. 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 59135?

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 59135

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 59135 in one place.

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