Update to the Blue Cross Medicare Advantage Preauthorization List

June 26, 2018

On 5/31/2018, Blue Cross and Blue Shield of Texas (BCBSTX) determined there are three Preauthorization codes that will no longer require Preauthorization. A revised list has been posted to the BCBSTX provider website under Clinical Resources then select Preauthorizations/Notifications/Referral Requirements and select Blue Cross Medicare Advantage PPOSM and Blue Cross Medicare Advantage HMOSM effective 05/31/2018 PDF Document.

The Blue Cross Medicare Advantage Preauthorization Procedure Code List effective 5/31/2018 has been revised to remove the following three codes, as they no longer require preauthorization.

  • Code A0431 Ambulance Services, Conventional Air Services, Transport, One Way (Rotary Wings)
  • Code A0433 Advanced life support, level 2 (als 2)
  • Code A0436 Rotary wing air mileage, per statute mile

If you have any questions, please contact your Network Management Representative.