Billing Beat

Anthem – Carelon Medical Benefits Management, Inc. Genetic Testing Code Updates

April 18, 2024

Effective for dates of service on and after July 1, 2024, the following codes will require prior authorization through Carelon Medical Benefits Management, Inc.:

CPT® Code:

  • 0403U
  • 0411U
  • 0419U
  • 0262U
  • 0405U
  • 0409U
  • 0410U
  • 0413U
  • 0417U

Source: https://providernews.anthem.com/new-hampshire/articles/carelon-medical-benefits-management-inc-genetic-testing-code-12-18765

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