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PAYER POLICY CHANGES

V5290 Insurance Policy Changes

HCPCS V5290 is officially defined as "Assistive listening device, transmitter microphone, any type." HCPCS V5290 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 V5290 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Watch V5290

Get one email when a payer policy names V5290, 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 rules5
Payers requiring prior auth5
  • 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

  • CalViva Health · Effective December 31, 2025

    Prior authorization required

    CalViva Health CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for V5290?

AmeriHealth Caritas lists V5290 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does CalViva Health require prior authorization for V5290?

CalViva Health lists V5290 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 Community Health Plan of Imperial Valley require prior authorization for V5290?

Community Health Plan of Imperial Valley lists V5290 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 CountyCare Health Plan require prior authorization for V5290?

CountyCare Health Plan lists V5290 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 V5290?

Florida Blue lists V5290 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 V5290?

There are 1 tracked policy change affecting HCPCS V5290, 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 V5290?

Payers that have issued tracked updates for HCPCS V5290 include: Oregon Health Plan.

How do I get notified when HCPCS V5290 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS V5290. 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 V5290?

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 V5290

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for V5290 in one place.

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