Medicare Monthly Review Details

Removal of HCPCS Code

Prior Authorization Update

Effective immediately, for claims with dates of service on or after 1/7/2022, the Centers for Medicare & Medicaid Services is removing current procedural terminology code 67911 (correction of lid retraction) from the list of codes that require prior authorization as a condition of payment. This service is not likely to be cosmetic in nature and commonly occurs secondary to another condition.
 
Please refer to the below list of codes that require prior authorization updated by CMS.

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