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Medicare AdvantagePrior AuthHigh impact

Medical policy updates

Blue Cross Blue Shield of Rhode Island·Psychiatry, Oncology, Urology +1 more·Provider Update
Effective date
Jul 1, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

Multiple medical policy changes affecting genetic testing, behavioral health, and cancer diagnostics with new prior authorization requirements and coverage changes. Many genetic testing codes are removing prior auth requirements while others are moving to online authorization tools with new medical criteria.

Action Required

Action needed
By July 1, 2025: Update billing system to remove prior authorization for CPT codes 81175, 81176, 0402U, 0455U, 0248U, and 0435U. Add prior authorization requirements for CPT 81162 for commercial plans when not filed with specified diagnosis codes. By September 1, 2025: Add TMS coverage restrictions requiring covered ICD-10 codes, update prior authorization workflows for genetic testing codes moving to online authorization tools, and implement new medical criteria for prostate cancer testing. Billing team must verify ICD-10 codes Z13.79 and Z14.1 are linked to genetic testing claims to avoid authorization requirements.

Affected Billing Codes

81518
81519
81520
81521
81522
81523
81541
81542
81479
81539
81551
81175
81176
81284
81286
81289
81173
81174
81204
81220
81221
81222
81223
81224
81329
81336
81337
81162
81554
Z13.79
Z14.1