Start free
PAYER POLICY CHANGES

A9278 Insurance Policy Changes

HCPCS A9278 is officially defined as "Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system." HCPCS A9278 is referenced in 11 tracked payer policy changes from Mississippi Medicaid (DOM), Independence Blue Cross, and 7 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS A9278 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Watch A9278

Get one email when a payer policy names A9278, a payer adds or drops it from a prior auth list, or Medicare changes its NCCI pairs, unit limit, payment or coverage articles.

No account needed. We send a confirmation link first, and every email has a one-click stop link.

REFERENCE DATA

Payers with rules14
Payers requiring prior auth14
  • BCBS Michigan · Effective October 13, 2026

    Prior authorization required in some cases

    BCBSM and BCN procedure codes for which providers must request prior authorization (commercial lines)

  • BCBS Arizona · Effective October 1, 2026

    Prior authorization required

    AZ Blue Standard Prior Authorization Requirements Code List (Updated 10/01/2026)

  • Blue Shield of California · Effective October 1, 2026

    Prior authorization required

    Prior Authorization List for Blue Shield of California

FREQUENTLY ASKED QUESTIONS

Does Ambetter require prior authorization for A9278?

Ambetter lists A9278 on Ambetter from Arizona Complete Health CMS-0057-F prior authorization requirements for exchange plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does AmeriHealth Caritas require prior authorization for A9278?

AmeriHealth Caritas lists A9278 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does Anthem BCBS require prior authorization for A9278?

Anthem BCBS lists A9278 on List of items and services that require prior authorization (Medicaid IN) for medicaid managed plans (list dated February 11, 2026). Verify with the payer before scheduling.

Does BCBS Arizona require prior authorization for A9278?

BCBS Arizona lists A9278 on AZ Blue Standard Prior Authorization Requirements Code List (Updated 10/01/2026) for commercial plans (list dated October 1, 2026). Verify with the payer before scheduling.

Does BCBS Michigan require prior authorization for A9278?

BCBS Michigan lists A9278 on BCBSM and BCN procedure codes for which providers must request prior authorization (commercial lines) for commercial plans, with conditions (list dated October 13, 2026). Verify with the payer before scheduling.

What insurance policy changes affect HCPCS A9278?

There are 11 tracked policy changes affecting HCPCS A9278, including updates from Mississippi Medicaid (DOM), Independence Blue Cross, UnitedHealthcare. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS A9278?

Payers that have issued tracked updates for HCPCS A9278 include: Mississippi Medicaid (DOM), Independence Blue Cross, UnitedHealthcare, Excellus BlueCross BlueShield, Priority Health, Blue Shield of California, Medicare/CMS - Transmittals, Sentara Health Plans, Aetna.

How do I get notified when HCPCS A9278 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS A9278. 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 A9278?

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 A9278

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for A9278 in one place.

See every payer rule

RELATED

All billing codesJ3590C9399J3490992159921399202

Get alerts for changes like this

Save a search and get email alerts when a new policy change matches your filters: daily or weekly, your choice, on every plan.

Create a free alertHow Policy Monitoring works