Connecticut
Provider Communications
Anthem Blue Cross and Blue Shield local precertification change in Connecticut
To obtain precertification, providers can access Availity* at www.availity.com or call the Utilization Management department using the number on the back of the member’s identification card. Service preapproval is based on member’s benefit plan/eligibility at the time the service is reviewed/approved. Precertification can help avoid unnecessary charges or penalties by helping to ensure that the member's care is medically necessary and administered at an appropriate network facility and by a network provider.
Criteria |
Criteria description |
Codes |
Effective date |
RAD.00064 |
Myocardial Sympathetic Innervation Imaging with or without Single-Photon Emission Computed Tomography (SPECT) |
0331T |
April 1, 2023 |
RAD.00064 |
Myocardial Sympathetic Innervation Imaging with or without Single-Photon Emission Computed Tomography (SPECT) |
0332T |
April 1, 2023 |
CG-MED-79 |
Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems |
0424T |
April 1, 2023 |
CG-MED-79 |
Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems |
0425T |
April 1, 2023 |
CG-MED-79 |
Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems |
0426T |
April 1, 2023 |
CG-MED-79 |
Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems |
0427T |
April 1, 2023 |
CG-MED-79 |
Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems |
0428T |
April 1, 2023 |
CG-MED-79 |
Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems |
0429T |
April 1, 2023 |
CG-MED-79 |
Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems |
0430T |
April 1, 2023 |
CG-MED-79 |
Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems |
0431T |
April 1, 2023 |
CG-MED-79 |
Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems |
0432T |
April 1, 2023 |
CG-MED-79 |
Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems |
0433T |
April 1, 2023 |
CG-MED-79 |
Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems |
0434T |
April 1, 2023 |
CG-MED-79 |
Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems |
0435T |
April 1, 2023 |
CG-MED-79 |
Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems |
0436T |
April 1, 2023 |
SURG.00121 |
Transcatheter Heart Valve Procedures |
0544T |
April 1, 2023 |
SURG.00121 |
Transcatheter Heart Valve Procedures |
0545T |
April 1, 2023 |
SURG.00121 |
Transcatheter Heart Valve Procedures |
0646T |
April 1, 2023 |
CG-SURG-95 |
Sacral Nerve Stimulation and Percutaneous Tibial Nerve Stimulation for Urinary and Fecal Incontinence; Urinary Retention |
64585 |
April 1, 2023 |
CG-MED-79 |
Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems |
C1823 |
April 1, 2023 |
Featured In:
January 2023 Provider Newsletter - Connecticut