Update to Prior Authorizations – Jan.1, 2021
What’s New: On Jan. 1, 2021, Blue Cross and Blue Shield of Texas (BCBSTX) will update its list of Current Procedural Terminology (CPT®) codes requiring prior authorization to comply with changes as a result of new, replaced or removed codes implemented by the American Medical Association (AMA) 
and BCBSTX Utilization Management updates.
More Information: For a revised list of codes effective Jan. 1, 2021, go to our provider website in the prior authorization section. Check the AMA website for more information on CPT code updates.
Check Eligibility and Benefits: To identify if a service requires prior authorization for our members, check eligibility and benefits through Availity® or your preferred vendor.
CPT copyright 2020 American Medical Association (AMA). All rights reserved. CPT is a registered trademark of the AMA.
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.
