Correction to the HealthSelect Sleep DME Preauthorization Procedure Codes List

August 30, 2018

Blue Cross and Blue Shield of Texas (BCBSTX) has determined there were two codes related to sleep durable medical equipment (DME), E0562 and 94660, that were incorrectly reported as no longer requiring prior authorization through eviCore for HealthSelectSM of Texas and Consumer Directed HealthSelectSM participants. While prior authorization is required through eviCore for these codes, their prior authorization is covered under the initial authorization for the participant’s continuous positive airway pressure (CPAP) ventilator.

Providers can refer to the “BCBSTX: Sleep Services Code ListPDF Document on for the full list of sleep DME codes which continue to require authorization.

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