February 2023
Current Procedural Terminology® (CPT®) Codes Updated for Prior Authorization for Medicare, April 1
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 Include:
- April 1, 2023 – addition of Lab codes to be reviewed by eviCore
- April 1, 2023 – addition of Musculoskeletal codes to be reviewed by eviCore
- April 1, 2023 – addition of Radiation Oncology codes to be reviewed by eviCore
- April 1, 2023 – removal of a Musculoskeletal code previously reviewed by eviCore
- April 1, 2023 – addition of a Specialty Pharmacy code to be reviewed by BCBSOK
More Information: For a complete and up-to-date list of codes, go to our provider website in the prior authorization section.
ClaimsXten and Clear Claim Connection are trademarks of Change Healthcare, an independent company providing coding software to BCBSOK. Change Healthcare is solely responsible for the software and all the contents.
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