OSP News

Updated Blue Cross Complete Authorization Requirements

Posted: 10/10/2023

Blue Cross Complete recently updated plan authorization requirements.

Effective November 1, 2023, Blue Cross Complete will no longer require prior authorization for the following services:

  • prenatal risk assessment (H1000)
  • penile torsion repair (54360, 54380, 54385, 54390)
  • liver and renal biopsy (47000, 47001, 50200, 50205)
  • wart removal (17110, 17111 (dx B07)
  • CT or MRI guidance (77012)
  • digital blocks (64455)

Starting November 1, 2023, Blue Cross Complete will require prior authorization for the following services:

  • 93740 thermography temp gradient studies (93740)
  • S8080 scintimammography (S8080)
  • TAG memo 006 - 81425-81427, 81546 genome sequencing, (81425, 81426, 81526)
  • pediatric chordae repair (54300, 54304)

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