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26-631 Updates to Prior Authorization Requirements

Date: 05/20/26

Incontinence supplies change, effective now, and new codes, effective April 1, 2026

This provider update includes prior authorization (PA) requirement changes for the Los Angeles County Department of Health Services
(LA-DHS).

These changes apply to services, procedures, equipment and outpatient pharmaceuticals (submitted under the medical benefit).

Refer to the changes below.

How to access prior authorization requirements

To access the LA-DHS PA requirements, go to Prior Authorizations and select Medi-Cal Los Angeles County Department of Human Services (LA-DHS) Participating Physician Groups.

Change, effective immediately

PA is only required for incontinence supplies beyond 186 units per calendar month or the $165 per month benefit limitation — whichever is greater.

Category

HCPCS code

Incontinence supplies

T4521, T4522, T4523, T4524, T4525, T4526, T4527, T4528, T4529, T4530, T4533, T4543

 

Additions, effective April 1, 2026

The below services, procedures, equipment and outpatient pharmaceuticals require PA as of April 1, 2026, per new CPT and HCPCS codes issued by the Centers for Medicare & Medicaid Services.

Category

CPT/HCPCS code

Proprietary laboratory analyses

0614U, 0615U

Genetic testing

0616U, 0617U, 0618U, 0619U, 0620U, 0621U, 0622U, 0623U, 0624U, 0625U, 0626U, 0627U, 0628U, 0629U, 0630U

Outpatient pharmaceuticals gene therapy − Itvisma®

C9309

Outpatient pharmaceuticals − Immune Globulin Yimmugo®

J1553

Outpatient pharmaceuticals gene therapy − Car-T Papzimeos

J3404

Outpatient pharmaceuticals − Camcevi ETM®

  • PA not required for urology/hematology

J9003

Outpatient pharmaceuticals − Inlexzo®

J9183

Outpatient pharmaceuticals − Keytruda Qlex®

J9277

Outpatient pharmaceuticals − Lynozyfic

J9601

Outpatient pharmaceuticals − Denosumab agents

Q5161, Q5162

Orthotics − custom

A8005, A8006

Prosthetics

L5992

Neuro and spinal cord stimulators, including procedures

C8007, C8008, C8011, C8012,

 

CPT Copyright 2025 American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association.

Need help? Contact us

If you have questions regarding the information contained in this update, contact the Health Net Provider Services Center by email, by phone or through the Health Net provider portal. Behavioral health providers can call 844-966-0298.

 

This information applies to Physicians, Practitioners, Participating Physician Groups (PPGs), Hospitals, Ancillary Providers, and Behavioral Health Providers.

This information applies to Medi-Cal in Los Angeles (LA-DHS).



Last Updated: 05/20/2026