Prior authorization is required for. Infertility Treatment. Commercial PPO. Indemnity. Click here for CPT codes. Prior authorization is required; in effect.

Use these lists to identify the member services that require prior authorization.

For procedure codes *92920, *92924, *92928, *92933, 92937 and *92943, providers must submit the prior authorization request after the service has been completed ...

1 янв. 2024 г. · For prior authorization requests handled by Blue Cross Blue Shield ... code J0897 being added effective 08/01/2022 for BCBS (existing.

Review categories below to find out if a member's procedure may require prior authorization. Medical Procedure · Medical Drugs · Behavioral Service. Procedure ...

This page includes the prior authorization summaries and code list documents that were posted at the end of the year for the past two years.

The services or drugs on these lists may require prior authorization by us, eviCore Healthcare® or Carelon Medical Benefits Management.

Jan. 1, 2023 – Removal of prior authorization codes previously reviewed by BCBSNM (BCCC)

“PPO*” in the Lines of business column The procedure code requires prior authorization for members who have coverage through Blue Cross commercial fully ...

Unlisted/miscellaneous CPT and HCPC's codes require prior approval ... PLEASE REVIEW THE PRIOR AUTHORIZATION GUIDELINE LIST FOR ALL OF THE SERVICES. REQUIRING ...