What insurance policy changes affect CPT 64590?

There are 7 tracked policy changes affecting CPT 64590, including updates from Humana, Aetna, Excellus BlueCross BlueShield. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 64590?

Payers that have issued tracked updates for CPT 64590 include: Humana, Aetna, Excellus BlueCross BlueShield, Blue Cross & Blue Shield of Mississippi.

How do I get notified when CPT 64590 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 64590. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 64590?

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.

64590 — Inserting or replacing a feeding tube that goes through the skin into your stomach for nutrition.: Insurance Policy Changes

64590 Insurance Policy Changes

CPT 64590, in plain terms, covers Inserting or replacing a feeding tube that goes through the skin into your stomach for nutrition. CPT 64590 is referenced in 7 tracked payer policy changes from Humana, Aetna, and 2 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 64590 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Medium impact

Fecal Incontinence (CPB 0611, reviewed 2026-02-25)

Aetna·Effective Feb 25, 2026

Aetna updated its fecal incontinence policy (CPB 0611) effective February 25, 2026, establishing clear medical necessity criteria for diagnostic tests, conservative treatments, and invasive procedures. The policy requires a 3-month trial of at least 2 conservative treatments before approving surgical interventions (sphincter repair, colostomy) or advanced devices (Acticon Neosphincter, sacral nerve stimulation). Multiple experimental procedures are listed as non-covered, including anal slings, graciloplasty, injectable bulking agents, magnetic sphincter augmentation, and regenerative medicine approaches.

64590 Insurance Policy Changes

Nerve Stimulation for Urinary Incontinence - Medicare Advantage (Revised)

Fecal Incontinence (CPB 0611, reviewed 2026-02-25)

Nerve Stimulation for Fecal Incontinence - Medicare Advantage (Revised)

Electrical Stimulation as a Treatment for Pain and Other Medical Conditions 1.01.55

Vagus Nerve Stimulation

Gastric Pacing and Gastric Electrical Stimulation - Medicare Advantage (Revised)

Gastric Electrical Stimulation