Tuesday, January 31, 2012

BCBSNC to require prior review as of April 1, 2012 for facet joint denervation

Effective April 1, 2012, facet joint denervation will require prior review/certification by BCBSNC in order to be covered. The member’s physician must provide written certification that the member has met specific clinical criteria as outlined in BCBSNC’s medical policy for this procedure.

BCBSNC providers were notified of this change on January 1, 2012 via multiple channels, including www.bcbsnc.com/providers, e-mails to physicians who commonly perform these procedures, and personal outreach to physician practice managers, Medical Group Managers, NC Medical Society leadership, NC Hospital Association, and Blue Link.  
BCBSNC will publish an article about this change on www.bcbsnc.com/employers soon. 

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