Medicare AdvantagePrior AuthMedium impact
[Georgia] Prior authorization requirement changes
Anthem BCBS·GA · Gastroenterology, Oncology·Provider Bulletin
Effective date
Mar 1, 2027
We identified it
Oct 20, 2026
Summary
Effective March 1, 2027, Anthem Blue Cross and Blue Shield will add prior authorization requirements for three new medical codes (C9777, E0767, J3386) for Medicare Advantage members in Georgia. Claims for these services submitted without prior authorization may be denied as ineligible for payment.
Action Required
By March 1, 2027: Billing team should update billing software and workflows to require prior authorization from Anthem before submitting claims for CPT codes C9777 (esophageal mucosal integrity testing), E0767 (intrabuccal radiofrequency electromagnetic field device for cancer treatment), and J3386 (etuvetidigene autotemcel injection) for Georgia-based Anthem Medicare Advantage members. Front desk and clinical staff should implement precertification processes for these services. Providers may obtain detailed requirements at https://anthem.com/provider or through Availity.com for contracted providers. Failure to obtain prior authorization may result in claim denial. Appeals may be submitted online through Availity Essentials or by phone to Provider Services.