Does AmeriHealth Caritas require prior authorization for G0564?

AmeriHealth Caritas lists G0564 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

What insurance policy changes affect HCPCS G0564?

There are 3 tracked policy changes affecting HCPCS G0564, including updates from Blue Cross & Blue Shield of Mississippi, Aetna, Blue Cross and Blue Shield of Louisiana. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS G0564?

Payers that have issued tracked updates for HCPCS G0564 include: Blue Cross & Blue Shield of Mississippi, Aetna, Blue Cross and Blue Shield of Louisiana.

How do I get notified when HCPCS G0564 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS G0564. 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 G0564?

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.

PAYER POLICY CHANGES

G0564 Insurance Policy Changes

HCPCS G0564 is officially defined as "Creation of subcutaneous pocket with insertion of 365 day implantable interstitial glucose sensor, including system activation and patient training." HCPCS G0564 is referenced in 3 tracked payer policy changes from Blue Cross & Blue Shield of Mississippi, Aetna, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS G0564 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Watch G0564

Get one email when a payer policy names G0564, a payer adds or drops it from a prior auth list, or Medicare changes its NCCI pairs, unit limit, payment or coverage articles.

See every payer rule for G0564

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for G0564 in one place.

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G0564 Insurance Policy Changes

Continuous Glucose Monitoring

Diabetes Tests, Programs and Supplies (CPB 0070, reviewed 2026-02-20)

Network News - 1st Quarter 2025