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PAYER POLICY CHANGES

74019 Insurance Policy Changes

CPT 74019, in plain terms, covers Plain X-ray of the abdomen using two views. CPT 74019 is referenced in 2 tracked payer policy changes from Maryland Medicaid. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 74019 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 74019 on AAPC

Watch 74019

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REFERENCE DATA

Payers with rules2
Payers requiring prior auth2
  • CalViva Health · Effective December 31, 2025

    Prior authorization required

    CalViva Health CMS-0057-F prior authorization requirements

  • Community Health Plan of Imperial Valley · Effective December 31, 2025

    Prior authorization required

    Community Health Plan of Imperial Valley CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does CalViva Health require prior authorization for 74019?

CalViva Health lists 74019 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 Community Health Plan of Imperial Valley require prior authorization for 74019?

Community Health Plan of Imperial Valley lists 74019 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.

What insurance policy changes affect CPT 74019?

There are 2 tracked policy changes affecting CPT 74019, including updates from Maryland Medicaid. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 74019?

Payers that have issued tracked updates for CPT 74019 include: Maryland Medicaid.

How do I get notified when CPT 74019 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 74019. 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 74019?

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 74019

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 74019 in one place.

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