Notification of Revised Preauthorization Requirements by Code

Effective July 1, 2022, the following codes will be removed from the Preauthorization Requirements Code List:

Code Description
81405 MOLECULAR PATHOLOGY PROCEDURE LEVEL 6
81406 MOLECULAR PATHOLOGY PROCEDURE LEVEL 7
81408 MOLECULAR PATHOLOGY PROCEDURE LEVEL 9
15820 Blepharoplasty, lower eyelid
15821 Blepharoplasty, lower eyelid; with extensive herniated fat pad
67901 Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia)
67902 Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia)
67903 Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach
67904 Repair of blepharoptosis; (tarso) levator resection or advancement, external approach
67906 Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia)
67908 Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type)

Codes requiring preauthorization are maintained in the Preauthorization Requirements Code List.

Updated October 1, 2021
H9408_WBST22_M