Blue Review
A Provider Publication

july 2021

Current Procedural Terminology (CPT®) Codes Updated for Prior Authorization for Commercial Members

What’s Changing: Blue Cross and Blue Shield of Oklahoma (BCBSOK) is changing prior authorization requirements that may apply to some commercial members to reflect new, replaced or removed codes due to updates from Utilization Management or the American Medical Association (AMA). A summary of changes is included below.

Important Reminder: Always check eligibility and benefits first through the Availity® Provider Portal or your preferred vendor portal, prior to rendering services. This step will confirm prior authorization requirements and utilization management vendors, if applicable.

Changes are:

  • May 21, 2021 – Removal of Pain Management codes previously reviewed by AIM
  • July 1, 2021 – Addition of Genetic Testing codes to be reviewed by AIM

More Information: For a revised list of codes, go to our provider website in the Utilization Management section.


bcbsok.com/provider