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PAYER POLICY CHANGES

65782 Insurance Policy Changes

CPT 65782, in plain terms, covers Surgeon reconstructs the ocular surface by transplanting the patient's own limbal conjunctival tissue. CPT 65782 is referenced in 2 tracked payer policy changes from Excellus BlueCross BlueShield and Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 65782 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 65782 on AAPC

Watch 65782

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REFERENCE DATA

Payers with rules6
Payers requiring prior auth6
  • CountyCare Health Plan · Effective April 23, 2026

    Prior authorization required

    CountyCare Prior Authorization Look-Up Tool (All Codes)

  • CalViva Health · Effective December 31, 2025

    Prior authorization required

    CalViva Health CMS-0057-F prior authorization requirements

  • 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 CalViva Health require prior authorization for 65782?

CalViva Health lists 65782 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 Capital Blue Cross require prior authorization for 65782?

Capital Blue Cross lists 65782 on Capital Blue Cross single source preauthorization code list for commercial plans. Verify with the payer before scheduling.

Does Centene require prior authorization for 65782?

Centene lists 65782 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.

Does Community Health Plan of Imperial Valley require prior authorization for 65782?

Community Health Plan of Imperial Valley lists 65782 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.

Does CountyCare Health Plan require prior authorization for 65782?

CountyCare Health Plan lists 65782 on CountyCare Prior Authorization Look-Up Tool (All Codes) for medicaid managed plans (list dated April 23, 2026). Verify with the payer before scheduling.

What insurance policy changes affect CPT 65782?

There are 2 tracked policy changes affecting CPT 65782, including updates from Excellus BlueCross BlueShield, Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 65782?

Payers that have issued tracked updates for CPT 65782 include: Excellus BlueCross BlueShield, Aetna.

How do I get notified when CPT 65782 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 65782. 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 65782?

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 65782

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 65782 in one place.

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