CommercialPrior AuthHigh impact
20-944 Medical Policies - 3rd Quarter 2020
Health Net·CA · Family Medicine, Internal Medicine, Pediatrics +6 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
Health Net updated multiple medical policies in Q3 2020, including new prior authorization requirements for respiratory viral panels, changes to bone-anchored hearing aid codes, updated COVID-19 testing criteria, and modifications to various procedures like facet joint interventions and nerve blocks. Several new CPT and HCPCS codes were added or moved between coverage categories.
Action Required
Immediately: Billing team must update system to reflect new prior authorization requirements for respiratory viral panels with 6+ pathogens. Update coding for bone-anchored hearing aids (remove L8613, add L8692). Flag CPT codes 0213T-0218T as investigational for facet joint interventions. Update COVID-19 testing criteria to match CDC guidelines as of July 2020. Review complete policy document in Provider Library for full criteria details.