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Preauthorization Requirement Changes Starting April 1 and June 15, 2024
Date Posted: 03/05/2024
The following two tables show the codes that will be added to and removed from the EmblemHealth Preauthorization List.
The following new code will be added to the EmblemHealth Preauthorization List starting June 15, 2024.
Codes Added to Preauthorization List Starting June 15, 2024
| CPT/HCPCS Code | CPT Code Description |
|---|---|
0037U |
Targeted genomic sequence analysis, solid organ neoplasm, DNA analysis of 324 genes, interrogation for sequence variants, gene copy number amplifications, gene rearrangements, microsatellite instability and tumor mutational burden |
The following codes will be removed from the EmblemHealth Preauthorization List starting April 1, 2024.
Codes Removed From Preauthorization List Starting April 1, 2024
| CPT/HCPCS Code | CPT Code Description |
|---|---|
32553 |
Placement of interstitial device(s) for radiation therapy guidance (e.g., fiducial markers, dosimeter), percutaneous, intra-thoracic, single or multiple |
49411 |
Placement of interstitial device(s) for radiation therapy guidance (e.g., fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple |
49412 |
Placement of interstitial device(s) for radiation therapy guidance (e.g., fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed, single or multiple (List separately in addition to code for primary procedure) |
55876 |
Placement of interstitial device(s) for radiation therapy guidance (e.g., fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple |
JP 56610 3/24