C7552 Insurance Policy Changes

[Virginia] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management

Effective November 1, 2026, Carelon Medical Benefits Management is adding new prior authorization requirements for specific cardiology catheterization procedures (CPT codes C7517, C7552, C7553) and one radiation oncology code (S8030) for Anthem Blue Cross and Blue Shield Medicare Advantage FIDE plans in Virginia. Billing teams must implement prior authorization checks for these codes before the effective date to avoid claim denials.