Additional Update to Prior Authorization Codes for Commercial Members – 10/1/2021

On 08/02/2021, an update was made to the 10/1/2021 Update to Prior Authorization Codes for Commercial Members notice and the Prior Authorization Lists for Fully Insured and Administrative Services Only (ASO) Plans to include some new AMA codes recently received from the American Medical Association (AMA).

Refer to the updated lists for details on the changes. As always, refer to Availity^® or your preferred vendor to check Eligibility and Benefits and identify if a service requires prior authorization for our members.

Availity is a trademark of Availity, L.L.C., a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX.

The vendors are solely responsible for the products or services they offer. If you have any questions regarding any of the products or services they offer, you should contact the vendor(s) directly.