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PAYER POLICY CHANGES

L6020 Insurance Policy Changes

HCPCS L6020 is officially defined as "Partial hand, no finger remaining." HCPCS L6020 is referenced in 13 tracked payer policy changes from Independence Blue Cross, Kansas Medicaid (KanCare), and 4 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS L6020 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

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REFERENCE DATA

Payers with rules9
Payers requiring prior auth9
  • BCBS Michigan · Effective October 13, 2026

    Prior authorization required in some cases

    BCBSM and BCN procedure codes for which providers must request prior authorization (commercial lines)

  • Ambetter · Effective December 31, 2025

    Prior authorization required

    Ambetter from Arizona Complete Health CMS-0057-F prior authorization requirements

  • Arizona Complete Health · Effective December 31, 2025

    Prior authorization required

    Arizona Complete Health CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does Ambetter require prior authorization for L6020?

Ambetter lists L6020 on Ambetter from Arizona Complete Health CMS-0057-F prior authorization requirements for exchange plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does AmeriHealth Caritas require prior authorization for L6020?

AmeriHealth Caritas lists L6020 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does Arizona Complete Health require prior authorization for L6020?

Arizona Complete Health lists L6020 on Arizona Complete Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does BCBS Michigan require prior authorization for L6020?

BCBS Michigan lists L6020 on BCBSM and BCN procedure codes for which providers must request prior authorization (commercial lines) for commercial plans, with conditions (list dated October 13, 2026). Verify with the payer before scheduling.

Does CalViva Health require prior authorization for L6020?

CalViva Health lists L6020 on CalViva Health 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 L6020?

There are 13 tracked policy changes affecting HCPCS L6020, including updates from Independence Blue Cross, Kansas Medicaid (KanCare), BCBS Michigan. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS L6020?

Payers that have issued tracked updates for HCPCS L6020 include: Independence Blue Cross, Kansas Medicaid (KanCare), BCBS Michigan, Arkansas Medicaid, Texas Medicaid, Michigan Medicaid - MDHHS.

How do I get notified when HCPCS L6020 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS L6020. 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 L6020?

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 L6020

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for L6020 in one place.

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