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Microsoft Word - PSR MAB 12 15 05.doc

Pennsylvania Medicaid (DHS)·PA · General Surgery, Gastroenterology, ENT (Ear, Nose & Throat) +5 more·Provider Bulletin
Effective date
Feb 1, 2006
We identified it
Jun 20, 2026
Days to comply

Summary

Pennsylvania Medical Assistance (Medicaid) has eliminated prior authorization requirements for 25 common surgical procedures when performed in Ambulatory Surgical Centers (POS 24) or lower-level settings, effective February 1, 2006. Prior authorization is still required for these procedures when performed in inpatient settings and remains mandatory for cosmetic/elective procedures listed in the mandatory review section.

Action Required

Action needed
Before February 1, 2006: Billing team must update prior authorization system to remove requirements for the 25 listed procedures when performed in Ambulatory Surgical Centers (POS 24) or lower-level settings. Continue requiring prior authorization for these same procedures when performed in inpatient settings. Update billing software to distinguish between outpatient and inpatient settings for these codes. Train staff on mandatory review procedures that still require prior authorization regardless of setting.

Affected Billing Codes

19182
20680
30520
42820
42821
42826
42830
43235
43239
43248
45378
45380
45384
45385
47562
49320
49505
50590
58558
58670
59812
59820
62311
64721
66821
66984
69436
X0615
X0616
X0617
X0618
X0619
X0620
X0621
X0622
X0597