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PAYER POLICY CHANGES

92519 Insurance Policy Changes

CPT 92519, in plain terms, covers Cervical and ocular VEMP testing using sound or vibration to measure neck and eye muscle reflexes for inner ear function, with interpretation and report. CPT 92519 is referenced in 9 tracked payer policy changes from Excellus BlueCross BlueShield, Sentara Health Plans, and 3 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 92519 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 92519 on AAPC

Watch 92519

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REFERENCE DATA

Payers with rules2
Payers requiring prior auth2
  • Excellus BlueCross BlueShield · Effective October 1, 2026

    Prior authorization required

    Excellus BCBS utilization management standard clinical review preauthorization list

  • Fidelis Care · Effective December 31, 2025

    Prior authorization required

    Fidelis Care CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does Excellus BlueCross BlueShield require prior authorization for 92519?

Excellus BlueCross BlueShield lists 92519 on Excellus BCBS utilization management standard clinical review preauthorization list for commercial plans (list dated October 1, 2026). Verify with the payer before scheduling.

Does Fidelis Care require prior authorization for 92519?

Fidelis Care lists 92519 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 92519?

There are 9 tracked policy changes affecting CPT 92519, including updates from Excellus BlueCross BlueShield, Sentara Health Plans, Harvard Pilgrim Health Care. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 92519?

Payers that have issued tracked updates for CPT 92519 include: Excellus BlueCross BlueShield, Sentara Health Plans, Harvard Pilgrim Health Care, Aetna, Indiana Medicaid (IHCP).

How do I get notified when CPT 92519 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 92519. 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 92519?

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 92519

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for 92519 in one place.

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