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PAYER POLICY CHANGES

J1806 Insurance Policy Changes

HCPCS J1806 is officially defined as "Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg." No tracked policy changes reference HCPCS J1806 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 J1806

Get one email when a payer policy names J1806, 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 rules2
Payers requiring prior auth2
  • Centene · Effective December 31, 2025

    Prior authorization required

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

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for J1806?

AmeriHealth Caritas lists J1806 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does Centene require prior authorization for J1806?

Centene lists J1806 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.

What insurance policy changes affect HCPCS J1806?

No policy changes affecting HCPCS J1806 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for HCPCS J1806?

No payer-specific updates have been tracked for HCPCS J1806 yet.

How do I get notified when HCPCS J1806 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS J1806. 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 J1806?

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 J1806

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for J1806 in one place.

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