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New Prior Authorization Requirements - Effective January 1, 2021

10/1/2020

Effective January 1, 2021 the following codes have been added to our Prior Authorization grid.  Every year prior authorization requirements are subject to change; some codes are added while others are removed. Please see our Prior Authorization grid to confirm whether a service requires a prior authorization. 

  • 15823 - Blepharoplasty, Upper Eyelid;
  • 67904 - Repair, Blepharoptosis; (Tarso
  • 22869 - Insertion of intralaminar/inte
  • 90867 - Therapeutic RepetitiveTranscr
  • 90868 - Therapeutic RepetitiveTranscr
  • 90869 - Therapeutic RepetitiveTranscr

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