Oakland Southfield Physicians

OSP News

Blue Cross Complete’s New Ambulatory Surgery Center Procedures Policy

Posted: 10/31/2022

Blue Cross Complete (BCC) periodically reviews its policies for alignment with industry best practices, and to promote safe and cost-effective care. Performance of the procedures listed below in an in-network Ambulatory Surgery Center will help reduce wait time for their members and support continuity of care. Effective 6/1/2020, prior authorization is not required for any of the following procedures performed in an in-network Ambulatory Surgery Center.

  • Abscess Drainage, Superficial
  • Arthroscopy/Arthroplasty
  • Carpal Tunnel Release
  • Cataract-related Interventions
  • Colonoscopy
  • Cystourethroscopy
  • Debridement
  • Excision Superficial Soft Tumor
  • Hernia Repair
  • Hysteroscopy
  • Laryngoscopy
  • Lithotripsy
  • Septoplasty, Submucous Resection
  • Sinus Interventions
  • Tonsillectomy and/or Adenoidectomy
  • Trigger Finger Release
  • Tympanostomy
  • Upper Endoscopy

This list of procedures is subject to change. Please call the Utilization Management Department at 1-888-312-5713 (option 4) to verify prior authorization requirements before performing the service.

Click here to read the full announcement from Blue Cross Complete.

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