Update to Prior Authorizations – Jan.1, 2021

What’s New: On Jan. 1, 2021, Blue Cross and Blue Shield of Texas (BCBSTX) will update its list of Current Procedural Terminology (CPT®) codes requiring prior authorization to comply with changes as a result of new, replaced or removed codes implemented by the American Medical Association (AMA) Learn more about third-party links and BCBSTX Utilization Management updates.

More Information: For a revised list of codes effective Jan. 1, 2021, go to our provider website in the prior authorization section. Check the AMA website Learn more about third-party links for more information on CPT code updates.

Check Eligibility and Benefits: To identify if a service requires prior authorization for our members, check eligibility and benefits through Availity® Learn more about third-party links or your preferred vendor.

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