What insurance policy changes affect HCPCS J3402?

There are 17 tracked policy changes affecting HCPCS J3402, including updates from Florida Blue, Anthem BCBS, Blue Cross Blue Shield of Rhode Island. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS J3402?

Payers that have issued tracked updates for HCPCS J3402 include: Florida Blue, Anthem BCBS, Blue Cross Blue Shield of Rhode Island, Blue Cross & Blue Shield of Mississippi, Kansas Medicaid (KanCare), Michigan Medicaid - MDHHS, Harvard Pilgrim Health Care, Molina Healthcare, Humana.

How do I get notified when HCPCS J3402 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS J3402. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for HCPCS J3402?

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.

J3402 — Injection, remestemcel-l-rknd, per therapeutic dose: Insurance Policy Changes

J3402 Insurance Policy Changes

HCPCS J3402 is officially defined as "Injection, remestemcel-l-rknd, per therapeutic dose." HCPCS J3402 is referenced in 17 tracked payer policy changes from Florida Blue, Anthem BCBS, and 7 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS J3402 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

High impact

[New York] March 2026 Provider Newsletter

Anthem BCBS·Effective Apr 1, 2026

This is a March 2026 provider newsletter from Anthem summarizing multiple administrative, educational, and policy updates across New York commercial, Medicare Advantage, and Medicaid plans. Key billing-related changes include: (1) Prior authorization requirement changes effective April 1, 2026 for Medicaid and June 1, 2026 for Commercial (codes 64595, J3402, J3403); (2) Modifier 26 (professional services) billing changes on UB-04 for outpatient facilities effective April 1, 2026; (3) Bundled services/supplies reimbursement policy updates effective June 1, 2026; (4) MCG Care Guidelines 30th edition updates effective June 1, 2026; and (5) New MLTC fax numbers and dispute submission process changes effective March 1, 2026.

J3402 Insurance Policy Changes

New Drug Waste Reduction Guideline

[New York] March 2026 Provider Newsletter

Additional HCPCS Level II Code Changes and Modifier Changes

[New York] Precertification/prior authorization list change notification

[California] Prior authorization requirement changes

[Virginia] Precertification/prior authorization list change notification

[Georgia] Precertification/prior authorization requirement changes

[Georgia] Precertification/prior authorization list change notification

[New York] Prior authorization requirement changes

[Virginia] March 2026 Provider Newsletter

State and School Employees' Health Insurance Plan - Ryoncil (remestemcel-L-rknd)

Ryoncil (remestemcel-L-rknd)

KMAP BULLETIN: HCPCS Codes Updates – October 2025

MMP 25-46: Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Code Updates

Point32Health medical drug program updates

Prior Authorization Requests Effective 10/1/25

Ryoncil (remestemcel-L-rknd) - Medicare Advantage (New)