MedicaidJune 30, 2023
Prior authorization update for select DME
The following durable medical equipment (DME) codes will require prior authorization (PA) effective August 1, 2023.
DME codes |
|
|
E0316 | L5220 | L5814 |
E0986 | L5280 | L5828 |
L2034 | L5301 | L5840 |
L2036 | L5321 | L5845 |
L2037 | L5590 | L5968 |
L2628 | L5613 | L5979 |
L5050 | L5649 | L5980 |
L5100 | L5700 | L5981 |
L5200 | L5701 | L5988 |
L5210 | L5702 | L6100 |
Providers should review the list of codes that will require PA. For code-specific PA requirements, visit providers.anthem.com/NV.
PA requests can be submitted through Availity* at availity.com or by calling Provider Services at 844-396-2330.
If you have questions about this communication or need assistance with any other item, contact your local Provider Relationship Management representative or call Provider Services at 844-396-2330.
* Availity, LLC is an independent company providing administrative support services on behalf of the health plan.
NVBCBS-CD-022906-23
PUBLICATIONS: July 2023 Provider Newsletter
To view this article online:
Visit https://providernews.anthem.com/nevada/articles/prior-authorization-update-for-select-dme-1-13803
Or scan this QR code with your phone