Healthcare providers who participate with FidelisCare are now obliged to obtain prior approval for some outpatient surgery and DME services. Read along to get a full list of CPT codes affected by this new regulation.
FidelisCare has issued a major authorization policy update. Effective January 1, 2022, healthcare providers are required to obtain prior authorization for dozens of procedure codes performed on Medicaid, Medicare, Essential Plan, & Metal Level plan members. Below is a list of the affected new CPT codes, divided by their types of service.
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