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Medicare AdvantagePrior AuthHigh impact

Policy updates

Blue Cross Blue Shield of Rhode Island·RI · Plastic Surgery, Oncology, Physical Therapy +3 more·Physician / Facility
Effective date
May 1, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

Multiple policy updates effective between January 1-May 1, 2024 affecting various services including breast reconstruction, genetic testing, PT/OT services, and fertility coverage. Key changes include removal of prior authorization for CPT 11971 breast reconstruction, elimination of ordering physician requirement for PT/OT, and coverage updates for genetic testing codes.

Action Required

Action needed
By May 1, 2024: Update billing system to remove prior authorization requirements for CPT 11971 when used with breast cancer diagnosis codes C50.011-C50.929, C79.81, D05.00-D05.92, Z42.1, Z85.3. Remove ordering physician requirement for all PT/OT services. Update genetic testing authorization rules for codes 81162-81167, 81206-81208, 81210, 81212, 81215-81217, 81261-81264, 81340-81342, 81265-81268, and 81270. Mark codes 81240 and 81241 as not covered for Medicare Advantage and not medically necessary for Commercial plans.

Affected Billing Codes

11971
81162
81163
81164
81165
81166
81167
81206
81207
81208
81210
81212
81215
81216
81217
81261
81262
81263
81264
81340
81341
81342
81265
81266
81267
81268
81270
81240
81241
C50.011
C50.929
C79.81
D05.00
D05.92
Z42.1
Z85.3
D45
D47.3
D75.1