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PAYER POLICY CHANGES

A6590 Insurance Policy Changes

HCPCS A6590 is officially defined as "External urinary catheters; disposable, with wicking material, for use with suction pump, per month." HCPCS A6590 is referenced in 3 tracked payer policy changes from Blue Cross Blue Shield of North Dakota, Medicare/CMS - Transmittals, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS A6590 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

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REFERENCE DATA

Payers with rules6
Payers requiring prior auth6
  • Colorado Medicaid · Effective July 1, 2026

    Prior authorization required

    Colorado Health First Colorado Fee Schedule (Prior Authorization Needed column)

  • 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

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for A6590?

AmeriHealth Caritas lists A6590 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans, with conditions. Verify with the payer before scheduling.

Does CalViva Health require prior authorization for A6590?

CalViva Health lists A6590 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 Centene require prior authorization for A6590?

Centene lists A6590 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 Colorado Medicaid require prior authorization for A6590?

Colorado Medicaid lists A6590 on Colorado Health First Colorado Fee Schedule (Prior Authorization Needed column) for medicaid ffs plans (list dated July 1, 2026). Verify with the payer before scheduling.

Does Community Health Plan of Imperial Valley require prior authorization for A6590?

Community Health Plan of Imperial Valley lists A6590 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 HCPCS A6590?

There are 3 tracked policy changes affecting HCPCS A6590, including updates from Blue Cross Blue Shield of North Dakota, Medicare/CMS - Transmittals, Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS A6590?

Payers that have issued tracked updates for HCPCS A6590 include: Blue Cross Blue Shield of North Dakota, Medicare/CMS - Transmittals, Aetna.

How do I get notified when HCPCS A6590 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS A6590. 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 HCPCS A6590?

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 A6590

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for A6590 in one place.

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RELATED

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