Preauthorization List Updates

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Preauthorization List Updates


Starting Nov. 15, 2022, six CPT Codes (10040, 15730, 17380, 21086, 21087, and 40500) will be added to the preauthorization lists set out below. The additions are a result of our ongoing code list review. The changes align with and support our existing medical policies regarding cosmetic procedures.


CMS’s Quarterly Update for July 2022

In addition, we have updated our preauthorization lists to reflect the code changes shared in CMS’ quarterly update for July 2022.

To easily look up whether a code requires preauthorization, we recommend using the Preauthorization Check Tool in the provider portals.

You may also see the preauthorization lists on our websites (EmblemHealth and ConnectiCare). In the event of a discrepancy, the published list will prevail.

Provider Update