BCN revises codes managed by eviCore healthcare

Blue Care Network has revised its Procedures that require clinical review by eviCore healthcare document.

What's changing?

Interventional pain management services

• Procedure codes *62263, *62264, *64620, *64626 and *64627 were removed from the list because services associated with these codes are managed by BCN and not by eviCore. However, if you enter these procedure codes into the e-referral system, you will get a message — incorrectly — indicating that the request should be submitted to eviCore.
  
  IMPORTANT! Until the e-referral system is updated to accept requests involving these codes, you should call BCN Care Management 1-800-392-2512 to request review of these services.
  
  
• The following new codes were added to the list of epidural and facet joint injections managed by eviCore as of Jan. 1, 2017: *62320, *62321, *62322, *62323, *62324, *62325, *62326 and *62327.
  
  
• The following codes are marked as requiring review by eviCore only from Sept. 1 through Dec. 31, 2016: *62310, *62311, *62318 and *62319. These codes are being retired and will eventually be removed from the list.

Physical, occupational and speech therapy services and physical medicine service provided by chiropractors

Some codes for these services are added to the list — specifically, the codes you enter into the e-referral system.

Additional information

For more information, refer to Procedures that require clinical review by eviCore healthcare.

Posted: December 2016
Line of business: Blue Care Network