What insurance policy changes affect HCPCS A9294?

There are 18 tracked policy changes affecting HCPCS A9294, including updates from Anthem BCBS, Blue Cross Blue Shield of Rhode Island, BCBS Michigan. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS A9294?

Payers that have issued tracked updates for HCPCS A9294 include: Anthem BCBS, Blue Cross Blue Shield of Rhode Island, BCBS Michigan, Texas Medicaid, Aetna, Indiana Medicaid (IHCP).

How do I get notified when HCPCS A9294 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS A9294. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for HCPCS A9294?

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.

A9294 — Prescription digital cognitive and/or behavioral therapy, biofeedback, fda cleared, per course of treatment: Insurance Policy Changes

A9294 Insurance Policy Changes

HCPCS A9294 is officially defined as "Prescription digital cognitive and/or behavioral therapy, biofeedback, fda cleared, per course of treatment." HCPCS A9294 is referenced in 18 tracked payer policy changes from Anthem BCBS, Blue Cross Blue Shield of Rhode Island, and 4 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS A9294 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

High impact

[California] Precertification/prior authorization requirement changes

Anthem BCBS·Effective Dec 1, 2026

Effective December 1, 2026, Anthem Blue Cross Medicare Advantage plans in California are adding prior authorization requirements for 30 specific procedure and supply codes, including prostate cancer screening (0591U), skin graft procedures (1044T-1049T, G0682, G0684), esophageal procedures (43192, 43201, 43210, 43236, 43497), neurolytic injections (64624), wound care matrices, neurostimulator generators, and orthotic devices. Claims submitted without prior authorization for these codes may be denied as ineligible for payment.

A9294 Insurance Policy Changes

[California] Precertification/prior authorization requirement changes

[California] Precertification/prior authorization requirement changes

[Virginia] Precertification/prior authorization requirement changes

[Ohio] Precertification/prior authorization requirement changes

[Virginia] Precertification/prior authorization requirement changes

[New York] Precertification/prior authorization requirement changes

[California] Precertification/prior authorization requirement changes

[New York] Precertification/prior authorization requirement changes

[Ohio] Precertification/prior authorization requirement changes

[Virginia] Precertification/prior authorization requirement changes

[Georgia] Precertification/prior authorization requirement changes

Additional HCPCS Level II Code Changes and Modifier Changes

HCPCS 1st-quarter update: New, deleted codes

First Quarter 2026 HCPCS Updates for Texas Medicaid

First Quarter 2026 HCPCS Updates for the CSHCN Services Program

Biofeedback (CPB 0132, reviewed 2026-07-16)

Prescription Digital Therapeutics (CPB 0999, reviewed 2026-06-19)

BT202649: Coverage and billing information for the April 2026 quarterly HCPCS codes update