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PAYER POLICY CHANGES

S9340 Insurance Policy Changes

HCPCS S9340 is officially defined as "Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem." HCPCS S9340 is referenced in 4 tracked payer policy changes from Excellus BlueCross BlueShield, Blue Cross & Blue Shield of Mississippi, and 2 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS S9340 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 rules11
Payers requiring prior auth11
  • Elevance Health · Effective February 11, 2026

    Prior authorization required

    List of items and services that require prior authorization (Medicare)

  • BCBS Illinois · Effective January 1, 2026

    Prior authorization required in some cases

    2026 Commercial Outpatient Medical Surgical Prior Authorization Codes

  • BCBS Montana · Effective January 1, 2026

    Prior authorization required in some cases

    2026 Commercial Medical Surgical Prior Authorization Codes

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for S9340?

AmeriHealth Caritas lists S9340 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does BCBS Illinois require prior authorization for S9340?

BCBS Illinois lists S9340 on 2026 Commercial Outpatient Medical Surgical Prior Authorization Codes for commercial plans, with conditions (list dated January 1, 2026). Verify with the payer before scheduling.

Does BCBS Montana require prior authorization for S9340?

BCBS Montana lists S9340 on 2026 Commercial Medical Surgical Prior Authorization Codes for commercial plans, with conditions (list dated January 1, 2026). Verify with the payer before scheduling.

Does BCBS New Mexico require prior authorization for S9340?

BCBS New Mexico lists S9340 on 2026 Commercial Outpatient Medical Surgical ASO Medical Surgical Procedure Code List for commercial plans, with conditions (list dated January 1, 2026). Verify with the payer before scheduling.

Does BCBS Oklahoma require prior authorization for S9340?

BCBS Oklahoma lists S9340 on 2026 Commercial Outpatient Medical Surgical ASO Prior Authorization Codes for commercial plans, with conditions (list dated January 1, 2026). Verify with the payer before scheduling.

What insurance policy changes affect HCPCS S9340?

There are 4 tracked policy changes affecting HCPCS S9340, including updates from Excellus BlueCross BlueShield, Blue Cross & Blue Shield of Mississippi, Aetna. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS S9340?

Payers that have issued tracked updates for HCPCS S9340 include: Excellus BlueCross BlueShield, Blue Cross & Blue Shield of Mississippi, Aetna, Premera Blue Cross.

How do I get notified when HCPCS S9340 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS S9340. 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 S9340?

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 S9340

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for S9340 in one place.

See every payer rule

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