Cochlear Implants Policy Now Requires Prior Authorization
CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. (collectively, “CareFirst”) is continually working with healthcare delivery partners to optimize Utilization Management (UM) strategies to increase efficiencies and control costs while ensuring members receive affordable, quality care. Prior Authorization helps balance access with appropriate utilization of services.
Effective October 1, 2023, CareFirst will require prior authorization for all commercial lines of business (excluding FEP) for policy Cochlear Implantation 7.01.005. You can find this medical policy in our medical policy database starting October 1.
What codes now require prior authorization?
The following codes will now require prior authorization:
- CPT code: 69930
- HCPCS codes:
- L8614
- L8619
- L8628
- L8681
- L8690
- L8691
Next Steps
You can find these codes on our Durable Medical Equipment Requiring Prior Authorization (PDF). If you need assistance submitting a prior authorization, review our authorization training under ‘CareFirst Essentials’ on the Learning and Engagement Center.