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Medicare AdvantagePrior AuthMedium impact

Medical policy updates

Blue Cross Blue Shield of Rhode Island·RI · Urology, Oncology, Cardiology +3 more·Physician / Facility
Effective date
Oct 1, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

Multiple policy updates effective October 1, 2024, including prior authorization changes for prostate procedures (CPT 53854), updated coverage criteria for breast radiation therapy, new covered compression garment codes for mastectomy patients, and coverage changes for glaucoma testing (CPT 0198T).

Action Required

Action needed
By October 1, 2024: Update prior authorization system for CPT 53854 (Water Vapor Thermal Therapy) to use InterQual criteria for Medicare members. Update billing system to add new compression garment HCPCS codes (A6520-A6593) with zero cost-share for commercial mastectomy patients. Stop billing CPT 0198T for glaucoma testing - mark as not covered for Medicare Advantage and not medically necessary for commercial plans. Review IMRT breast treatment criteria for updated medical necessity requirements.

Affected Billing Codes

53854
83700
83701
83704
A6520
A6521
A6522
A6523
A6528
A6529
A6565
A6568
A6569
A6574
A6575
A6576
A6577
A6578
A6579
A6580
A6581
A6582
A6588
A6589
A6593