Question 1

What insurance policy changes affect CPT 92526?

Accepted Answer

There are 4 tracked policy changes affecting CPT 92526, including updates from Sentara Health Plans, CareSource, Nevada Medicaid. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Question 2

Which payers have updated policy for CPT 92526?

Accepted Answer

Payers that have issued tracked updates for CPT 92526 include: Sentara Health Plans, CareSource, Nevada Medicaid.

Question 3

How do I get notified when CPT 92526 policy changes?

Accepted Answer

Create a free account at PolicyChanges.app and save a search filtered to CPT 92526. You will receive a daily digest email whenever a new policy change references this code.

Question 4

Why do payers change policies for CPT 92526?

Accepted Answer

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.

92526 Insurance Policy Changes

Authorization Updates - Effective January 1, 2026

[Georgia] Prior Authorization Requirement Update

Attention Provider Type 34 (Therapy) Specialties 29 (Speech Pathologist) and 219 (Speech Pathologist Language): Prior Authorization Requirements Removed for Certain Speech Therapy Services Effective January 1, 2026

Reminder to Provider Type 34 (Therapy) Specialties 29 (Speech Pathologist) and 219 (Speech Pathologist Language): Prior Authorization Requirements Removed for Certain Speech Therapy Services