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PAYER POLICY CHANGES

L6310 Insurance Policy Changes

HCPCS L6310 is officially defined as "Shoulder disarticulation, passive restoration (complete prosthesis)." No tracked policy changes reference HCPCS L6310 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.

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Get one email when a payer policy names L6310, 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 rules11
Payers requiring prior auth11
  • 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)

  • Colorado Medicaid · Effective July 1, 2026

    Prior authorization required

    Colorado Health First Colorado Fee Schedule (Prior Authorization Needed column)

  • Ambetter · Effective December 31, 2025

    Prior authorization required

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

FREQUENTLY ASKED QUESTIONS

Does Ambetter require prior authorization for L6310?

Ambetter lists L6310 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 L6310?

AmeriHealth Caritas lists L6310 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 L6310?

Arizona Complete Health lists L6310 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 L6310?

BCBS Michigan lists L6310 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 L6310?

CalViva Health lists L6310 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 L6310?

No policy changes affecting HCPCS L6310 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for HCPCS L6310?

No payer-specific updates have been tracked for HCPCS L6310 yet.

How do I get notified when HCPCS L6310 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS L6310. 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 L6310?

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 L6310

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for L6310 in one place.

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