OSP News

Blue Cross Complete Prior Authorization Requirement: Unlisted/Miscellaneous Codes and PA Review Reduction

Posted: 10/23/2025

 The following changes to Prior Authorization requirements will take effect February 1, 2026:

  • 64561: Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed 
  • 64575: Incision for implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) 
  • 64580: Incision for implantation of neurostimulator electrode array; neuromuscular 
  • 64581: Incision for implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) 
  • 48999: Unlisted procedure, pancreas 
  • 80299: Quantitation of drug, not specified anywhere

Updates to the prior authorization and medical necessity review for these services are part of Blue Cross Complete’s continued dedication to supporting providers in their shared commitment to high quality health care for participants.

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

We value your privacy. We use cookies and other technologies to keep the web site reliable and secure, tailor your experience, and measure web site performance, as described in our Privacy Policy.

x

OSP Technical Support