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Medical Policy and Coding Updates - June 2018

Premera Blue Cross·WA, AK · Gastroenterology, Neurosurgery, Plastic Surgery +6 more·Medical Policy
Effective date
Aug 3, 2018
We identified it
Jun 18, 2026
Days to comply

Summary

Multiple policy updates effective June-August 2018 including new prior authorization requirements for rare disease drugs and reconstructive breast surgery codes, updated coverage criteria for various medications, and coding changes for neurophysiology monitoring and gastroesophageal procedures.

Action Required

Action needed
By August 3, 2018: Billing team must update systems to require prior authorization for rare disease drug codes (J0180, J0221, J1322, J1743, J1786, J3385) and reconstructive breast surgery codes (S2067, S2068). Update encounter forms to flag these codes for prior auth. Mark esophageal procedure codes (43201, 43236, 43257) as investigational/non-covered. Remove prior auth requirements for evoked potential codes (95925-95929, 95938-95939). Update pharmacy edits for new Testopel criteria and migraine prophylaxis coverage.

Affected Billing Codes

43201
43236
43257
95940
95941
G0453
S2067
S2068
J0180
J0221
J1322
J1743
J1786
J3385
95930
95925
95926
95927
95928
95929
95938
95939
27415
27416
28446
29866
27412
29877
29879
29880
29881
29882
29883
J7330
S2112
22856
22858
22861