Correction to the 2018 Newly Effective Preauthorization Procedure Codes List

August 1, 2018

On 7/30/2018, Blue Cross and Blue Shield of Texas (BCBSTX) corrected the effective date for procedure code 31295 (nasal/sinus endoscopy, surgical) to no longer require preauthorization as of 2/23/2018. It previously indicated 2/23/2019. A corrected 2018 Newly Effective Preauthorization Procedure Codes PDF Document list has been posted to the BCBSTX provider website under Preauthorizations/Notifications/Referral Requirements.

This list applies to fully insured members for the plans listed below:

  • Blue Advantage HMOSM and Blue Advantage PlusSM HMO
  • Blue Choice PPOSM
  • Blue EssentialsSM and Blue Essentials AccessSM
  • Blue PremierSM and Blue Premier AccessSM

We apologize for this error and any inconvenience it may have caused. If you have any questions, please contact your Network Management Representative.