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Anthem BCBSCommercial · Prior Auth · Provider Bulletin · VA · Dermatology, Neurosurgery, RadiologyMedium impact

[Virginia] VA precertification/prior authorization list change notification

Effective date
Dec 1, 2026
Identified
Jul 28, 2026

Summary

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

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What to do

Action · 5 steps
01Before December 1, 2026: Billing team must update prior authorization workflow in billing software to require precertification for CPT 1020T (noninvasive imaging for skin lesions), CPT 62330 (percutaneous spinal surgery), and CPT 62331 (percutaneous spinal surgery).
02Update provider encounter templates and internal compliance checklists to reflect new prior auth requirements for Anthem/HealthKeepers commercial plans in Virginia.
03Configure system to flag these codes for prior authorization submission through Availity Essentials or phone contact (800-755-0851 for mental health/substance abuse; member ID card number for maternity/medical/surgical).
04Communicate changes to ordering and rendering providers.
05Claims submitted without prior authorization for these codes will be deemed ineligible for payment effective December 1, 2026.

Codes mentioned

6233062331

Original notice

[Virginia] VA 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 policiesVA policy changesDermatologyNeurosurgeryRadiologyCode 62330Code 62331

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