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PAYER POLICY CHANGES

J0380 Insurance Policy Changes

HCPCS J0380 is officially defined as "Injection, metaraminol bitartrate, per 10 mg." No tracked policy changes reference HCPCS J0380 yet. New payer updates are added daily, so check back soon or create a free alert to be notified the moment a change affects this code.

No policies yet

No tracked policy changes match this filter yet. New policies are added daily.

Watch J0380

Get one email when a payer policy names J0380, a payer adds or drops it from a prior auth list, or Medicare changes its NCCI pairs, unit limit, payment or coverage articles.

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REFERENCE DATA

Payers with rules3
Payers requiring prior auth3
  • Centene · Effective December 31, 2025

    Prior authorization required

    Sunshine Health Title XIX, Title XXI, Managed Medical Assistance CMS-0057-F prior authorization requirements

  • Fidelis Care · Effective December 31, 2025

    Prior authorization required

    Fidelis Care CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for J0380?

AmeriHealth Caritas lists J0380 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does Centene require prior authorization for J0380?

Centene lists J0380 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 Fidelis Care require prior authorization for J0380?

Fidelis Care lists J0380 on Fidelis Care 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 J0380?

No policy changes affecting HCPCS J0380 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for HCPCS J0380?

No payer-specific updates have been tracked for HCPCS J0380 yet.

How do I get notified when HCPCS J0380 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS J0380. 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 J0380?

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 J0380

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for J0380 in one place.

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