Transcription of Updated November 2021 - BCBSIL
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Updated November 2021. 2021 Commercial Outpatient Medical Surgical Prior Authorization Code List PROCEDURES REQUIRING PRIOR AUTHORIZATION. EXCEPT AS OTHERWISE NOTED IN THE UPDATES COLUMN, THESE PRIOR AUTHORIZATION REQUIREMENTS ARE EFFECTIVE. ON JANUARY 1, 2021. PRESS "CTRL" AND "F" KEYS AT THE SAME TIME TO BRING UP THE SEARCH BOX. ENTER A PROCEDURE CODE OR DESCRIPTION OF THE SERVICE. This list includes Current Procedural Terminology (CPT ) and/or Healthcare Common Procedure Coding System (HCPCS) codes related to services/categories for which prior authorization may be required as of January 1, 2021, for some of our commercial non-HMO members, such as those listed below: - PPO.
Artificial Intervertebral Disc Retire from BCBS PA effective 1/1/22; continue to request PA through AIM if applicableAdded to list, with AIM effective 04/01/2021 27412 Joint, Spine Surgery Autochondrocyte Implant Knee AIM Guidelines SUR705.035 _ Autologous Chondrocyte
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