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PAYER POLICY CHANGES

B4199 Insurance Policy Changes

HCPCS B4199 is officially defined as "Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix." HCPCS B4199 is referenced in 7 tracked payer policy changes from Anthem BCBS and Blue Cross & Blue Shield of Mississippi. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS B4199 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 rules12
Payers requiring prior auth12
  • Anthem BCBS · Effective November 1, 2026

    Prior authorization required

    Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial)

  • BCBS New Mexico · Effective October 1, 2026

    Prior authorization required in some cases

    BCBSNM Turquoise Care (New Mexico Medicaid) Preauthorization Procedure Code List

  • Blue Shield of California · Effective October 1, 2026

    Prior authorization required

    Prior Authorization List for Blue Shield of California

FREQUENTLY ASKED QUESTIONS

Does Anthem BCBS require prior authorization for B4199?

Anthem BCBS lists B4199 on Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial) for commercial plans (list dated November 1, 2026). Verify with the payer before scheduling.

Does BCBS Illinois require prior authorization for B4199?

BCBS Illinois lists B4199 on 2026 Commercial Outpatient Medical Surgical Prior Authorization Codes for commercial plans, with conditions (list dated January 1, 2026). Verify with the payer before scheduling.

Does BCBS Montana require prior authorization for B4199?

BCBS Montana lists B4199 on 2026 Commercial Medical Surgical Prior Authorization Codes for commercial plans, with conditions (list dated January 1, 2026). Verify with the payer before scheduling.

Does BCBS New Mexico require prior authorization for B4199?

BCBS New Mexico lists B4199 on 2026 Commercial Outpatient Medical Surgical ASO Medical Surgical Procedure Code List for commercial plans, with conditions (list dated January 1, 2026). Verify with the payer before scheduling.

Does BCBS Oklahoma require prior authorization for B4199?

BCBS Oklahoma lists B4199 on 2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes for commercial plans, with conditions (list dated January 1, 2026). Verify with the payer before scheduling.

What insurance policy changes affect HCPCS B4199?

There are 7 tracked policy changes affecting HCPCS B4199, including updates from Anthem BCBS, Blue Cross & Blue Shield of Mississippi. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS B4199?

Payers that have issued tracked updates for HCPCS B4199 include: Anthem BCBS, Blue Cross & Blue Shield of Mississippi.

How do I get notified when HCPCS B4199 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS B4199. 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 B4199?

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 B4199

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for B4199 in one place.

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