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[Georgia] Prior authorization requirement updates — Carelon Medical Benefits Management
Effective date
Oct 1, 2026
Identified
Jun 13, 2026
Summary
Effective October 1, 2026, five cardiovascular procedures including implantable cardioverter-defibrillator systems and substernal electrodes will require prior authorization through Carelon Medical Benefits Management for Georgia commercial plans. This affects cardiac device procedures and pulse generator replacements.
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What to do
Action · 4 steps
01Before October 1, 2026: Billing team must update prior authorization requirements for CPT codes 0571T, 0572T, 0573T, 0574T, and 33262 in billing system.
02Providers performing cardiovascular device procedures must obtain prior auth through Carelon's provider portal at https://providerportal.com or via Availity Essentials.
03Update encounter forms and EMR to prompt for prior authorization.
04Claims will be denied without proper authorization.
Codes mentioned
33262
Original notice
[Georgia] Prior authorization requirement updates — Carelon Medical Benefits Management
providernews.anthem.com · Always check the source before changing claims.
Related changes
See all Anthem BCBS changes →[Georgia] Precertification/prior authorization requirement updates — Carelon Medical Benefits Management (September 2026 Newsletter)MediumEffective Dec 1, 2026 · Provider Bulletin[Georgia] Prior authorization requirement updates — Carelon Medical Benefits ManagementMediumEffective Oct 1, 2026 · Provider Bulletin[Georgia] Carelon Medical Benefits Management, Inc. Code UpdateMediumEffective Apr 1, 2026 · Provider BulletinBrowse every Anthem BCBS change in the policy list