Does Fidelis Care require prior authorization for 61590?

Fidelis Care lists 61590 on Fidelis Care 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 61590?

There are 2 tracked policy changes affecting CPT 61590, including updates from Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 61590?

Payers that have issued tracked updates for CPT 61590 include: Aetna.

How do I get notified when CPT 61590 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 61590. 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 61590?

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.

PAYER POLICY CHANGES

61590 Insurance Policy Changes

CPT 61590, in plain terms, covers Infratemporal approach in front of the ear to the middle cranial fossa, including parotidectomy, craniotomy and freeing of the facial nerve or petrous carotid artery. May also include mandible disarticulation. CPT 61590 is referenced in 2 tracked payer policy changes from Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 61590 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 61590 on AAPC

Watch 61590

Get one email when a payer policy names 61590, a payer adds or drops it from a prior auth list, or Medicare changes its NCCI pairs, unit limit, payment or coverage articles.

See every payer rule for 61590

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 61590 in one place.

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