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January 2023

Gastric stimulation questionnaire updated

On Nov. 14, 2022, we updated the Gastric stimulation questionnaire in the e-referral system for adult Medicare Plus Blue℠, Blue Care Network commercial and BCN Advantage℠ members.

We also updated the corresponding preview questionnaire on the ereferrals.bcbsm.com website.

As a reminder, we use our prior authorization criteria, our medical policies and your answers to the questionnaires in the e-referral system when making utilization management determinations on your prior 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:

Authorization criteria and medical policies

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

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2022 American Medical Association. All rights reserved.