What insurance policy changes affect HCPCS C1607?

There are 21 tracked policy changes affecting HCPCS C1607, including updates from Anthem BCBS. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS C1607?

Payers that have issued tracked updates for HCPCS C1607 include: Anthem BCBS.

How do I get notified when HCPCS C1607 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS C1607. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for HCPCS C1607?

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.

C1607 — Neurostimulator, integrated (implantable), rechargeable with all implantable and external components including charging system: Insurance Policy Changes

C1607 Insurance Policy Changes

HCPCS C1607 is officially defined as "Neurostimulator, integrated (implantable), rechargeable with all implantable and external components including charging system." HCPCS C1607 is referenced in 21 tracked payer policy changes from Anthem BCBS. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS C1607 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Medium impact

[Georgia] Precertification/prior authorization requirements — Carelon Medical Benefits Management

Anthem BCBS·Effective Nov 1, 2026

Effective November 1, 2026, Anthem Blue Cross Blue Shield in Georgia is adding four specific surgical and device codes to Carelon Medical Benefits Management's prior authorization requirements. Providers must obtain precertification before performing these procedures: two neurostimulation procedures for bladder dysfunction (CPT 0988T, 0989T), endoscopic sleeve gastroplasty (CPT 43889), and an integrated neurostimulator device (HCPCS C1607). Claims submitted without prior authorization will be denied.

C1607 Insurance Policy Changes

[Ohio] Precertification/prior authorization requirement changes

[Virginia] Prior authorization requirement changes

[Ohio] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

[New York] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

[Virginia] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

[California] Prior authorization requirement changes

[California] Prior authorization requirement changes

[New York] Prior authorization requirement changes

[Virginia] Prior authorization requirement changes

[California] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

[Georgia] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

[Ohio] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

[California] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

[New York] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

[Ohio] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

[Virginia] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

[Georgia] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

[New York] Precertification/prior authorization requirements — Carelon Medical Benefits Management

[Ohio] Precertification/prior authorization requirements — Carelon Medical Benefits Management

[Virginia] Precertification/prior authorization requirements — Carelon Medical Benefits Management

[Georgia] Precertification/prior authorization requirements — Carelon Medical Benefits Management