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New Service Added to the Hospital Outpatient Department Prior Authorization Program

Effective for dates of service rendered on or after 7/1/2023, facet joint interventions are added to the HOPD services requiring prior authorization as a condition of payment. On 6/15/2023, National Government Services will begin accepting prior authorization requests for facet joint services.

Prior authorization is a condition of payment and does not change Medicare benefits or coverage requirements. Please visit the Prior Authorization section of our website for details about the prior authorization process. Information specific to Facet Joints will be added as it becomes available.

Posted 2/17/2023