Medicare AdvantagePrior AuthMedium impact
[Georgia] Precertification/prior authorization requirement changes
Anthem BCBS·GA · Gastroenterology, Oncology, Urology +6 more·Provider Bulletin
Effective date
Sep 1, 2026
We identified it
Jun 13, 2026
Summary
Anthem Blue Cross and Blue Shield of Georgia is adding prior authorization requirements for 26 specific medical codes effective September 1, 2026, for Medicare Advantage members only. These codes span multiple specialties including gastroenterology, oncology, neurostimulation procedures, and various surgical interventions.
Action Required
Before September 1, 2026: Billing team must update prior authorization system to require precertification for all 26 listed codes (0598U, 0603U, 0609U, 0783T, 0988T, 0989T, 1020T, 43889, 47384, 55877, 62330, 62331, 64654-64659, 64728, 89251, 89253, 89257, 93145, 93146, 95803, J3387, J3389) for Anthem Medicare Advantage members in Georgia. Update encounter forms and EMR alerts to remind providers to obtain prior authorization. Services without proper authorization may be denied payment.