REMINDER: Beginning Dec. 5, 2016, BCN requires authorization for laparoscopic cholecystectomies

Beginning Dec. 5, 2016, BCN requires authorization for laparoscopic cholecystectomies.

What's changing? For dates of service on or after Dec. 5, 2016, BCN requires authorization for laparoscopic cholecystectomies.

Who's affected? This applies to BCN HMO^SM (commercial) and BCN Advantage^SM members and to services related to procedure codes *47562-*47564.

Where to find more information: The authorization criteria for laparoscopic cholecystectomies is available on the Clinical Review & Criteria Charts page in the BCN section of ereferrals.bcbsm.com. You can also find a preview questionnaire, which shows the questions contained in the questionnaire displayed in the e-referral system. For both these documents, look in the table with the heading "Other procedures."

Also see the article "Update and reminder about clinical review requirements for certain surgeries," published in the September-October 2016 issue of BCN Provider News.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2015 American Medical Association. All rights reserved.

Posted: November 2016
Line of business: Blue Care Network