Effective Date: Dec. 1, 2026

Health Plans Affected: Advantage MD, Employer Health Programs (EHP), Priority Partners, Johns Hopkins US Family Health Plan (USFHP)

Type of Change: Authorization Requirements Status

Explanation of Change:
Authorization status code changes have been confirmed for Johns Hopkins Health Plans and will go into effect starting Dec. 1, 2026. These requirements affect members of all ages enrolled in Johns Hopkins Health Plans.

Key: PA=Prior Authorization Required; NPA=No Prior Authorization Required; NC=Not Covered

Advantage MD Authorization Changes Effective 12-1-2026:

• 34701 - Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft performed from the level of the renal arteries to the aortic bifurcation; for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer); NPA
• 34702- Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft for rupture (e.g., for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption); NPA
• 34703 - Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft for other than rupture (e.g., for aneurysm, pseudoaneurysm, dissection, penetrating ulcer); NPA
• 34704 - Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft for rupture (e.g. for aneurysm, pseudoaneurysm, dissection, penetrating ulcer, traumatic disruption); NPA
• 34705 - Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft for other than rupture (e.g. for aneurysm, pseudoaneurysm, dissection, penetrating ulcer); NPA
• 34706 - Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft for other than rupture (e.g. for aneurysm, pseudoaneurysm, dissection, penetrating ulcer); NPA
• 34707 - Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft for other than rupture (e.g. for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation); NPA
• 34708 - Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft for rupture (e.g., for aneurysm, pseudoaneurysm, dissection, arteriovenous malformation, traumatic disruption); NPA
• 34709 - Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or iliac aneurysm, false aneurysm, dissection, penetrating ulcer. (List separately in addition to code for primary procedure); NPA

EHP and Priority Partners Authorization Change Effective 12-1-2026

• 33270 - Insertion or replacement of permanent subcutaneous implantable defibrillator system; NPA

USFHP Authorization Changes Effective 12-1-2026

• 70486 - CT maxillofacial w/o contrast material; NPA
• 70487 - CT maxillofacial w/contrast material; NPA
• 70488 - CT maxillofacial w/o & w/contrast material; NPA
• 71270 - CT thorax dx w/o & w/contrast material; NPA
• 74261 - CT colonography dx image postprocess w/o contrast; NPA
• 76981 - Ultrasound, elastography; parenchyma (e.g., organ); NPA
• 76982 - Ultrasound, elastography; first target lesion; NPA
• 76983 - Ultrasound, elastography; each additional target lesion (List separately in addition to code for primary procedure); NPA
• 91200 - Liver elastography; NPA