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PAYER POLICY CHANGES

K1031 Insurance Policy Changes

HCPCS K1031 is officially defined as "Non-pneumatic compression controller without calibrated gradient pressure." No tracked policy changes reference HCPCS K1031 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 K1031

Get one email when a payer policy names K1031, 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 rules1
Payers requiring prior auth1
  • 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 Centene require prior authorization for K1031?

Centene lists K1031 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 K1031?

No policy changes affecting HCPCS K1031 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for HCPCS K1031?

No payer-specific updates have been tracked for HCPCS K1031 yet.

How do I get notified when HCPCS K1031 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS K1031. 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 K1031?

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 K1031

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for K1031 in one place.

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