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PAYER POLICY CHANGES

L2192 Insurance Policy Changes

HCPCS L2192 is officially defined as "Addition to lower extremity fracture orthosis, hip joint, pelvic band, thigh flange, and pelvic belt." HCPCS L2192 is referenced in 1 tracked payer policy change from Aetna. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS L2192 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Watch L2192

Get one email when a payer policy names L2192, 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 rules4
Payers requiring prior auth4
  • CountyCare Health Plan · Effective April 23, 2026

    Prior authorization required

    CountyCare Prior Authorization Look-Up Tool (All Codes)

  • CalViva Health · Effective December 31, 2025

    Prior authorization required

    CalViva Health 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 AmeriHealth Caritas require prior authorization for L2192?

AmeriHealth Caritas lists L2192 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans, with conditions. Verify with the payer before scheduling.

Does CalViva Health require prior authorization for L2192?

CalViva Health lists L2192 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 Community Health Plan of Imperial Valley require prior authorization for L2192?

Community Health Plan of Imperial Valley lists L2192 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.

Does CountyCare Health Plan require prior authorization for L2192?

CountyCare Health Plan lists L2192 on CountyCare Prior Authorization Look-Up Tool (All Codes) for medicaid managed plans (list dated April 23, 2026). Verify with the payer before scheduling.

What insurance policy changes affect HCPCS L2192?

There are 1 tracked policy change affecting HCPCS L2192, including updates from Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS L2192?

Payers that have issued tracked updates for HCPCS L2192 include: Aetna.

How do I get notified when HCPCS L2192 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS L2192. 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 L2192?

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 L2192

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for L2192 in one place.

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