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Great news for Commercial & Medicare members: St. Charles & Salem Health remain in-network. Learn more.

Prior authorization changes for February 1, 2026 – Medicare and Medicaid

Medicare:

Starting February 1, 2026, these services with the listed billing codes will require prior authorization.

  • C9781 - Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g. limited or extensive), subacromial decompression, acromioplasty, and biceps tenodesis when performed             
  • E0486 - Oral device/appliance   
  • 29999 - Unlisted procedure, arthroscopy
  • 31299 - Unlisted procedure, accessory sinuses
  • 31599 - Unlisted procedure, larynx
  • 31899 - Unlisted procedure, trachea, bronchi
  • 39599 - Unlisted procedure, diaphragm
  • 43659 - Unlisted laparoscopy procedure, stomach
  • 47379 - Unlisted laparoscopic procedure, liver
  • 49329 - Unlisted laparoscopy procedure, abdomen, peritoneum and omentum
  • 50949 - Unlisted laparoscopy procedure, ureter
  • 51999 - Unlisted laparoscopy procedure, bladder
  • 60699 - Unlisted procedure, endocrine system
  • 64912 - Nerve repair; with nerve allograft, each nerve, first strand (cable)
  • 64999 - Unlisted procedure, nervous system
  • 78499 - Unlisted cardiovascular procedure, diagnostic nuclear medicine
  • 93702 - Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s)
  • 95965 - Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (e.g., epileptic cerebral cortex localization)
  • 95966 - Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (e.g., sensory, motor, language, or visual cortex localization)   
  • 97799 - Unlisted physical medicine/rehabilitation service or procedure

Starting February 1, 2026, services with the following billing codes will require prior authorization for amounts greater than $500 under Medicare:

  • L2999 - Lower extremity orthoses, not otherwise specified
  • L8699 - Prosthetic implant, not otherwise specified
  • 37243 - Vascular embolization or occlusion, multiple indications 

Please check codes using our Provider Authorization Grid tool prior to services being rendered. 


Medicaid:

Starting February 1, 2026, these services with the listed billing codes will require prior authorization.

  • 64912 - Nerve repair; with nerve allograft, each nerve, first strand (cable)
  • 93702 - Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s)

Please check codes using our Provider Authorization Grid tool prior to services being rendered.