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Medical codes for services that require precertification

June 28, 2017

As you know, we maintain a list of services that require preapproval/precertification from Independence prior to being performed for our members. For your reference, we have recently created a supplementary document to use with the Precertification/Preapproval List. This new document, Services Requiring Precertification, includes the CPT® and HCPCS codes, where applicable, that correlate with the services and injectable drugs on the Precertification/Preapproval List.

To access Services Requiring Precertification, visit our Medical Policy Portal and select Accept and Go to Medical Policy Online. Then select the Commercial or Medicare Advantage tab from the top of the page. From there, select Services Requiring Precertification from the left-hand menu.

Our Precertification/Preapproval List, which identifies certain medical services and injectable drugs that require preapproval/precertification, has been updated to include links to this new Services Requiring Precertification document for services for commercial and Medicare Advantage members.

CPT copyright 2016 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.


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