Changes to the musculoskeletal procedure codes that require authorization through TurningPoint

We updated the list of Musculoskeletal procedure codes that require authorization by TurningPoint (PDF) to reflect the following changes.

Procedure codes that will no longer require authorization

For dates of service on or after Jan. 1, 2022, the following procedure codes no longer require prior authorization: *63194, *63195, *63196, *63198 and *63199. The American Medical Association retired these codes.

Additional procedures codes that will require prior authorization

For dates of service on or after March 27, 2022, the following procedure codes will require authorization through TurningPoint Healthcare Solutions LLC.

• For Blue Cross commercial: *63052 and *63053
• For Medicare Plus Blue, BCN commercial and BCN Advantage members: *0656T, *0657T, *0707T, *63052, *63053, *64628 and *64629

Additional information

TurningPoint Healthcare Solutions LLC is an independent company that manages authorizations for musculoskeletal surgical and other related procedures for Blue Cross Blue Shield of Michigan and Blue Care Network. For more information about TurningPoint, see the Musculoskeletal Services pages of this website.

*CPT Copyright 2020 American Medical Association. All rights reserved. CPT^® is a registered trademark of the American Medical Association.

Posted: January 2022
Lines of business: Blue Cross Blue Shield of Michigan and Blue Care Network