Effective immediately, plan notification is no longer required for endometrial ablation and excisional breast biopsy procedures for BCN members

Effective immediately, plan notification is no longer required for endometrial ablation and excisional breast biopsy procedures for BCN HMO^SM (commercial) and BCN Advantage^SM members. However, standard regional referral requirements still apply; for example, a global referral is still required where applicable.

This change applies to the following procedure codes:

• Endometrial ablation: *58353, *58356 and *58563
• Excisional breast biopsy: *19101, *19120, *19125 and *19126

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2018 American Medical Association. All rights reserved.

Posted: September 2019
Line of business: Blue Care Network