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Medicare AdvantagePrior AuthHigh impact

Policy updates

Blue Cross Blue Shield of Rhode Island·RI · Neurosurgery, Orthopedics, Oncology +4 more·Physician / Facility
Effective date
Mar 1, 2023
We identified it
Jun 19, 2026
Days to comply

Summary

Multiple policy updates effective March 1, 2023, including new prior authorization requirements for spinal procedures (CPT 63661, 63662, 63688), tumor treating field therapy devices (HCPCS E0766), and various coding updates for allergy testing, genetic testing, and other specialties. Several policies are transitioning to web-based authorization tools with different criteria for Medicare Advantage versus commercial plans.

Action Required

Action needed
By March 1, 2023: Billing team must update system to require prior authorization for CPT codes 63661, 63662, and 63688 (spinal procedures) and HCPCS code E0766 (tumor treating field therapy). Update ICD-10 codes for allergy testing - replace T40.7X5A/D/S with T40.715A/D/S. Configure system to use web-based authorization tool for these codes with different criteria for Medicare Advantage vs commercial plans. Update encounter forms and train staff on new prior auth requirements. Claims will be denied without proper authorization.

Affected Billing Codes

E0766
63661
63662
63688
86003
86008
T40.7X5A
T40.7X5D
T40.7X5S
T40.715A
T40.715D
T40.715S
63664
92227
A2014
A2015
A2016
A2017
A2018
A4596
A9602
C1834
E0183
G0310
G0311
G0312
G0313
G0314
T1032
T1033