April 2017
Effective May 1, 2017, for claims with dates of service on or after that date, insulin pumps and glucose monitoring systems (Commercial only) and upper gastrointestinal endoscopy no longer require prior authorization through the web-based preauthorization tools, and CPT 69711 no longer requires prior authorization for Commercial products for dates of service on or after June 1, 2017. Effective April 1, 2017, HCPCS code C9484 is not medically necessary, C9487 is subject to medical review, and C9485, C9486 and C9488 are invalid for professional providers. Effective February 1, 2017, proprietary lab analysis codes 0001U and 0002U are invalid and 0003U is not medically necessary for Commercial products.