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PAYER POLICY CHANGES

J1836 Insurance Policy Changes

HCPCS J1836 is officially defined as "Injection, metronidazole, 10 mg." No tracked policy changes reference HCPCS J1836 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 J1836

Get one email when a payer policy names J1836, 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 J1836?

AmeriHealth Caritas lists J1836 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does Centene require prior authorization for J1836?

Centene lists J1836 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 J1836?

No policy changes affecting HCPCS J1836 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for HCPCS J1836?

No payer-specific updates have been tracked for HCPCS J1836 yet.

How do I get notified when HCPCS J1836 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS J1836. 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 J1836?

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 J1836

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for J1836 in one place.

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