February 2022

Check out TurningPoint’s updated documentation guideline for musculoskeletal procedures and related services

TurningPoint Healthcare Solutions, LLC has updated its TurningPoint Documentation Guideline document for musculoskeletal and related services.

TurningPoint made the following changes:

Categorized the information within the document to make it easier to find what you need
Clarified criteria related to body mass index and smoking cessation
Clarified imaging requirements
Added the following grading scales and descriptive criteria for joint replacement procedures due to arthritis:

Kellgren-Lawrence Radiographic Grading Scale of OA
Tonnis Grading Scale of Hip Osteoarthritis

The updated document is available on the following pages of our ereferrals.bcbsm.com website:

TurningPoint Healthcare Solutions, LLC is an independent company that handles authorizations for musculoskeletal surgical and related procedures for Blue Cross Blue Shield of Michigan and Blue Care Network.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2021 American Medical Association. All rights reserved.