Prior authorization requirements for E0482
Effective November 1, 2020, prior authorization (PA) requirements will change for E0482. The medical codes listed below will require PA by Anthem Blue Cross and Blue Shield. Federal and state law, as well as state contract language and Centers for Medicare & Medicaid Services guidelines, including definitions and specific contract provisions/exclusions take precedence over these PA rules and must be considered first when determining coverage. Noncompliance with new requirements may result in denied claims.
PA requirements will be added to the following:
- E0482 – Cough stimulating device, alternating positive and negative airway pressure
To request PA, you may use one of the following methods:
- Web: availity.com
- Fax: 1-800-964-3627
- Phone: 1-855-558-1443
Not all PA requirements are listed here. PA requirements are available to contracted providers by accessing the Provider Self-Service Tool at availity.com by visiting https://mediproviders.anthem.com/wi > Login. Contracted and noncontracted providers who are unable to access Availity* may call Provider Services at 1-855-558-1443 for PA requirements.
October 2020 Anthem Provider News - Wisconsin