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February 2022

Gastric stimulation, varicose vein questionnaires updated in e-referral system

On Dec. 19, 2021, we updated the following questionnaires in our e-referral system:

  • Gastric stimulation — For adult Medicare Plus Blue℠, Blue Care Network commercial and BCN Advantage℠ members. This questionnaire now opens for the following additional procedure codes: *95980, *95981 and *95982.
  • Varicose vein treatment — For adult BCN commercial and BCN Advantage members. This questionnaire now opens for the following additional procedure codes: *36465 and *37700. It no longer opens for *36469.

We also updated the corresponding authorization criteria and preview questionnaires on ereferrals.bcbsm.com.

A reminder

We use our authorization criteria, our medical policies and your answers to the questionnaires in the e-referral system when making utilization management determinations on your authorization requests.

Preview questionnaires

You can access preview questionnaires at ereferrals.bcbsm.com. They show the questions you'll need to answer in the questionnaires that open in the e-referral system so you can prepare your answers ahead of time.

To find the preview questionnaires:

  • For BCN — Click on BCN and then click on Authorization Requirements & Criteria. Scroll down and look in the Authorization criteria and preview questionnaires: Various Procedures table.
  • For Medicare Plus Blue — Click on Blue Cross and then click on Authorization Requirements & Criteria. In the For Medicare Plus Blue members section, look in the Authorization criteria and preview questionnaires — Medicare Plus Blue: Various Procedures table.

Authorization criteria and medical policies

The pertinent authorization criteria and medical policies are also available on the Authorization Requirements & Criteria pages.

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