BCBS – Starting May 1, Additional Radiology Procedures for Our Commercial, Medicare Plus Blue Members Will Require Prior Authorization

Beginning May 1, 2020, the PPO Radiology Management Program, administered by AIM Specialty Health^®, will require prior authorization for additional radiology procedures. This change will apply to Blue Cross Blue Shield of Michigan commercial members, Blue Care Network commercial members, and Medicare Plus Blue^SM members.

Here are the procedure codes that will require prior authorization for both office settings and hospital outpatient locations:

Myocardial perfusion imaging, or MPI, and positron emission tomography, or PET, scan:

• *78429
• *78430
• *78431
• *78432
• *78433

A list of these codes will be available at aimspecialtyhealth.com** in April 2020. You can also refer to Blue Cross’ online provider manuals.

Providers can get authorization through Provider Secured Services at bcbsm.com/providers or by contacting AIM at 1-800-728-8008.

Source: https://www.bcbsm.com/content/dam/microsites/corpcomm/provider/the_record/2020/feb/Record_0220f.shtml