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PAYER POLICY CHANGES

V5285 Insurance Policy Changes

HCPCS V5285 is officially defined as "Assistive listening device, personal fm/dm, direct audio input receiver." HCPCS V5285 is referenced in 1 tracked payer policy change from Oregon Health Plan. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS V5285 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 rules3
Payers requiring prior auth3
  • CountyCare Health Plan · Effective April 23, 2026

    Prior authorization required

    CountyCare Prior Authorization Look-Up Tool (All Codes)

  • Florida Blue · Effective March 27, 2026

    Prior authorization required

    Prior Authorization List: HMO – Marketplace Qualified Health Plans

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for V5285?

AmeriHealth Caritas lists V5285 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans, with conditions. Verify with the payer before scheduling.

Does CountyCare Health Plan require prior authorization for V5285?

CountyCare Health Plan lists V5285 on CountyCare Prior Authorization Look-Up Tool (All Codes) for medicaid managed plans (list dated April 23, 2026). Verify with the payer before scheduling.

Does Florida Blue require prior authorization for V5285?

Florida Blue lists V5285 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 V5285?

There are 1 tracked policy change affecting HCPCS V5285, including updates from Oregon Health Plan. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS V5285?

Payers that have issued tracked updates for HCPCS V5285 include: Oregon Health Plan.

How do I get notified when HCPCS V5285 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS V5285. 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 V5285?

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 V5285

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for V5285 in one place.

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