Medicare Advantage CPT® Codes Update For Some Prior Authorization Services

Jun. 05, 2020

On Sept. 1, 2020, Blue Cross and Blue Shield of Montana (BCBSMT) will update the Medicare Advantage list of Current Procedural Terminology (CPT) codes to comply with changes from the American Medical Association (AMA). These changes are the result of new, replaced or removed codes implemented by the AMA.

What’s New: On Sept. 1, 2020 we will update the Medicare Advantage procedure code list for services that require prior authorization.

More Information: For a revised Medicare Advantage list of codes effective Oct. 1, 2022, go to the BCBSMT provider website’s Medicare Advantage preauthorization requirements section. Check the AMA website for more information on CPT codes.

Check Eligibility and Benefits: To identify which members require prior authorization for services on the code list, check eligibility and benefits through Availity® or your preferred vendor.

 

CPT copyright 2019 American Medical Association (AMA). All rights reserved. CPT is a registered trademark of the AMA.

Availity is a trademark of Availity, L.L.C., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSMT.

The vendors are solely responsible for the products or services they offer. If you have any questions regarding any of the products or services they offer, you should contact the vendor(s) directly.

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Blue Cross and Blue Shield of Montana, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.