Learn how the Bridge Program applies to NYCE PPO, Large Group, and ASO plan members in 2026.
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Preauthorization Requirements –
Effective Feb. 1, 2027.
Date Posted: 10/2/2026
The following codes are being added to our preauthorization list effective Feb. 1, 2027.
Codes Being Added to the Preauthorization List Starting Feb. 1, 2026
| CPT/HCPCS Code | CPT Code Description |
|---|---|
A4318 | Female external urinary collection cup, with or without ring attachment; per day |
A4479 | Electronic transanal irrigation system; includes electronic pump, water reservoir, tubing, and accessories, without catheter; any type |
A6548 | Accessory to custom gradient compression garment, silicone band; any size |
A8005 | Powered, cable-driven grip assist glove, hand, finger, includes microprocessor, pressure sensors, all components and accessories; custom fitted |
A8006 | Powered, cable-driven grip assist glove, hand, finger, includes pressure sensors; glove replacement only |
L2221 | Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion; includes power source |
L5992 | All lower extremity prosthesis, foot shell for modular foot/nonsolid ankle cushion heel (SACH) replacement only |
The following code is being removed from our preauthorization list effective Jan. 1, 2027
Code(s) Being Removed from the Preauthorization List Starting Jan. 1, 2027
| CPT/HCPCS Code | CPT Code Description |
|---|---|
0421U | Oncology (colorectal) screening, quantitative real-time target and signal amplification of 8 RNA markers (GAPDH, SMAD4, ACY1, AREG, CDH1, KRAS, TNFRSF10B, EGLN2) and fecal hemoglobin, algorithm reported as a positive or negative for colorectal cancer risk |
JP 56776 9/26