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PAYER POLICY CHANGES

J1939 Insurance Policy Changes

HCPCS J1939 is officially defined as "Injection, bumetanide, 0.5 mg." No tracked policy changes reference HCPCS J1939 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 J1939

Get one email when a payer policy names J1939, 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
  • CalViva Health · Effective December 31, 2025

    Prior authorization required

    CalViva Health CMS-0057-F prior authorization requirements

  • Centene · Effective December 31, 2025

    Prior authorization required

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

  • Community Health Plan of Imperial Valley · Effective December 31, 2025

    Prior authorization required

    Community Health Plan of Imperial Valley CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does CalViva Health require prior authorization for J1939?

CalViva Health lists J1939 on CalViva Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Centene require prior authorization for J1939?

Centene lists J1939 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 Community Health Plan of Imperial Valley require prior authorization for J1939?

Community Health Plan of Imperial Valley lists J1939 on Community Health Plan of Imperial Valley 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 J1939?

No policy changes affecting HCPCS J1939 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for HCPCS J1939?

No payer-specific updates have been tracked for HCPCS J1939 yet.

How do I get notified when HCPCS J1939 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS J1939. 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 J1939?

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 J1939

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for J1939 in one place.

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RELATED

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