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PAYER POLICY CHANGES

V2499 Insurance Policy Changes

HCPCS V2499 is officially defined as "Variable sphericity lens, other type." HCPCS V2499 is referenced in 1 tracked payer policy change from Alaska Medicaid. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS V2499 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 rules4
Payers requiring prior auth4
  • 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

  • Carolina Complete Health · Effective December 31, 2025

    Prior authorization required

    Carolina Complete Health CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does Ambetter require prior authorization for V2499?

Ambetter lists V2499 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 Arizona Complete Health require prior authorization for V2499?

Arizona Complete Health lists V2499 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 Carolina Complete Health require prior authorization for V2499?

Carolina Complete Health lists V2499 on Carolina Complete Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Centene require prior authorization for V2499?

Centene lists V2499 on Sunshine Health Title XIX, Title XXI, Managed Medical Assistance 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 V2499?

There are 1 tracked policy change affecting HCPCS V2499, including updates from Alaska Medicaid. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS V2499?

Payers that have issued tracked updates for HCPCS V2499 include: Alaska Medicaid.

How do I get notified when HCPCS V2499 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS V2499. 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 V2499?

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 V2499

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for V2499 in one place.

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RELATED

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