Start free
PAYER POLICY CHANGES

V5010 Insurance Policy Changes

HCPCS V5010 is officially defined as "Assessment for hearing aid." HCPCS V5010 is referenced in 5 tracked payer policy changes from Texas Medicaid, Sentara Health Plans, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS V5010 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Watch V5010

Get one email when a payer policy names V5010, a payer adds or drops it from a prior auth list, or Medicare changes its NCCI pairs, unit limit, payment or coverage articles.

No account needed. We send a confirmation link first, and every email has a one-click stop link.

REFERENCE DATA

Payers with rules5
Payers requiring prior auth5
  • BCBS New Mexico · Effective October 1, 2026

    Prior authorization required in some cases

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

  • Florida Blue · Effective March 27, 2026

    Prior authorization required

    Prior Authorization List: HMO – Marketplace Qualified Health Plans

  • CalViva Health · Effective December 31, 2025

    Prior authorization required

    CalViva Health CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does BCBS New Mexico require prior authorization for V5010?

BCBS New Mexico lists V5010 on BCBSNM Turquoise Care (New Mexico Medicaid) Preauthorization Procedure Code List for medicaid managed plans, with conditions (list dated October 1, 2026). Verify with the payer before scheduling.

Does CalViva Health require prior authorization for V5010?

CalViva Health lists V5010 on CalViva 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 V5010?

Centene lists V5010 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.

Does Community Health Plan of Imperial Valley require prior authorization for V5010?

Community Health Plan of Imperial Valley lists V5010 on Community Health Plan of Imperial Valley CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Florida Blue require prior authorization for V5010?

Florida Blue lists V5010 on Prior Authorization List: HMO – Marketplace Qualified Health Plans for exchange plans (list dated March 27, 2026). Verify with the payer before scheduling.

What insurance policy changes affect HCPCS V5010?

There are 5 tracked policy changes affecting HCPCS V5010, including updates from Texas Medicaid, Sentara Health Plans, Connecticut Medicaid (HUSKY Health). Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS V5010?

Payers that have issued tracked updates for HCPCS V5010 include: Texas Medicaid, Sentara Health Plans, Connecticut Medicaid (HUSKY Health).

How do I get notified when HCPCS V5010 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS V5010. 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 V5010?

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 V5010

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for V5010 in one place.

See every payer rule

RELATED

All billing codesJ3590C9399J3490992159921399202

Get alerts for changes like this

Save a search and get email alerts when a new policy change matches your filters: daily or weekly, your choice, on every plan.

Create a free alertHow Policy Monitoring works