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April 2025

How to find out which procedure codes require prior authorization by TurningPoint

We’ve retired the Musculoskeletal procedure codes that require authorization by TurningPoint document. To determine which procedure codes require prior authorization, open Procedure codes for which providers must request prior authorization.

Here’s what you need to know:

  • To find procedure codes that require prior authorization by TurningPoint Healthcare Solutions, search for “TurningPoint” in the document. You can also search for a specific procedure code.
  • To learn more about the procedure code list, see the introductory information in the document.

This applies to the following lines of business:

  • Blue Cross Blue Shield commercial
  • Medicare Plus Blue℠
  • Blue Care Network commercial
  • BCN Advantage℠

TurningPoint Healthcare Solutions LLC is an independent company that manages prior 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 2024 American Medical Association. All rights reserved.