Prior authorization update for commercial business

Anthem Blue Cross and Blue Shield and our affiliate HealthKeepers, Inc. are committed to reducing costs while improving health outcomes. To that end, effective January 1, 2021, Anthem Blue Cross and Blue Shield and HealthKeepers, Inc. will require prior authorization for some additional services for our commercial business. 

 

NOTE: This excludes Anthem HealthKeepers Plus (Medicaid), Medicare Advantage, the Commonwealth Coordinated Care Plus (Anthem CCC Plus) plan, and the Blue Cross and Blue Shield Service Benefit Plan (also called the Federal Employee Program or FEP).  

 

The following codes have been added to require prior authorization with a date of service on or after January 1, 2021:

33477	SURG.00121
36465	SURG.00037
36466	SURG.00037
53447	SURG.00010
E0466	CG-DME-47
G0277	CG-MED-73

 

687-1020-PN-VA