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PAYER POLICY CHANGES

L6940 Insurance Policy Changes

HCPCS L6940 is officially defined as "Elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal switch, cables, two batteries and one charger, switch control of terminal device." No tracked policy changes reference HCPCS L6940 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 L6940

Get one email when a payer policy names L6940, 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 rules13
Payers requiring prior auth13
  • 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)

  • BCBS Arizona · Effective October 1, 2026

    Prior authorization required

    AZ Blue Standard Prior Authorization Requirements Code List (Updated 10/01/2026)

  • BCBS New Mexico · Effective October 1, 2026

    Prior authorization required in some cases

    BCBSNM Turquoise Care (New Mexico Medicaid) Preauthorization Procedure Code List

FREQUENTLY ASKED QUESTIONS

Does Ambetter require prior authorization for L6940?

Ambetter lists L6940 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 L6940?

AmeriHealth Caritas lists L6940 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does Anthem BCBS require prior authorization for L6940?

Anthem BCBS lists L6940 on List of items and services that require prior authorization (Medicare) for medicare advantage plans (list dated February 11, 2026). Verify with the payer before scheduling.

Does BCBS Arizona require prior authorization for L6940?

BCBS Arizona lists L6940 on AZ Blue Standard Prior Authorization Requirements Code List (Updated 10/01/2026) for commercial plans (list dated October 1, 2026). Verify with the payer before scheduling.

Does BCBS Michigan require prior authorization for L6940?

BCBS Michigan lists L6940 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.

What insurance policy changes affect HCPCS L6940?

No policy changes affecting HCPCS L6940 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for HCPCS L6940?

No payer-specific updates have been tracked for HCPCS L6940 yet.

How do I get notified when HCPCS L6940 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS L6940. 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 L6940?

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 L6940

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for L6940 in one place.

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