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Anthem BCBSCommercial · Prior Auth · Provider Bulletin · GA · Dermatology, Neurosurgery, Orthopedics +1 moreMedium impact

[Georgia] Precertification/prior authorization list change notification

Effective date
Dec 1, 2026
Identified
Jul 16, 2026

Summary

Effective December 1, 2026, Anthem Blue Cross and Blue Shield in Georgia is adding three services to its precertification/prior authorization requirements: noninvasive imaging for skin lesion evaluation (CPT 1020T) and percutaneous spinal surgery procedures (CPT 62330 and 62331). Providers must obtain prior authorization before delivering these services or risk claim denials.

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What to do

Action · 5 steps
01Before December 1, 2026: Billing team must update the billing system and prior authorization workflows to require precertification for CPT codes 1020T, 62330, and 62331 for all Anthem Georgia commercial members.
02Clinical staff and providers should be notified of the new requirements.
03Establish processes to submit prior authorization requests through Availity Essentials or Provider Services before scheduling or performing these procedures.
04Ensure eligibility verification occurs at time of service review, as benefit plans vary by contract.
05Claims submitted without required prior authorization will be denied for payment.

Codes mentioned

6233062331

Original notice

[Georgia] Precertification/prior authorization list change notification
providernews.anthem.com · Always check the source before changing claims.
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Related changes

See all Anthem BCBS changes →
[New York] New prior authorization requirementsMediumEffective Jan 1, 2027 · Provider Bulletin[Ohio] New prior authorization requirementsMediumEffective Jan 1, 2027 · Provider Bulletin[Virginia] New prior authorization requirementsMediumEffective Jan 1, 2027 · Provider Bulletin[Georgia] New prior authorization requirementsMediumEffective Jan 1, 2027 · Provider BulletinBrowse every Anthem BCBS change in the policy list

Related policy hubs

Anthem BCBS policiesGA policy changesDermatologyNeurosurgeryOrthopedicsPain ManagementCode 62330Code 62331

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