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[Virginia] Precertification/prior authorization list change notification
Act
by Nov 15, 2026
Effective date
Dec 1, 2026
Identified
Aug 14, 2026
Summary
Effective December 1, 2026, Anthem Blue Cross and Blue Shield in Virginia is adding compression devices for lymphedema (HCPCS code E0659) to its precertification/prior authorization requirements. Providers must obtain prior authorization before rendering this service or claims may be denied as ineligible for payment.
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What to do
by Nov 15, 2026 · 2 steps
01Billing team must update the billing system to require prior authorization for HCPCS code E0659 (compression devices for lymphedema) for all Anthem Blue Cross and Blue Shield and HealthKeepers commercial plans in Virginia.
02Providers must be notified to request precertification/prior authorization through Availity Essentials or by calling the member ID card number before dispensing compression devices.
If missed: Failure to obtain prior authorization will result in claim denials and services being deemed ineligible for payment.
Codes mentioned
E0659
Original notice
[Virginia] Precertification/prior authorization list change notification
providernews.anthem.com · Always check the source before changing claims.
Related changes
See all Anthem BCBS changes →[New York] Precertification/prior authorization list change notificationMediumEffective Dec 1, 2026 · Provider Bulletin[Georgia] Precertification/prior authorization list change notificationMediumEffective Dec 1, 2026 · Provider Bulletin[Virginia] Prior authorization requirement changes effectiveMediumEffective Apr 1, 2026 · Provider Bulletin[California] Prior authorization requirement changes effectiveMediumEffective Apr 1, 2026 · Provider BulletinBrowse every Anthem BCBS change in the policy list