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Mar 1, 2022

Utilization Updates for IQ Medicare Module InterQual®

Effective February 2022, IQ Medicare Module InterQual® 2021, Dec. 2021 Release, Medicare: Procedures Blepharoplasty

This Medicare module is all inclusive for both Blepharoplasty and Ptosis and includes all of the codes that BCBSRI requires prior authorization for as noted within the 2021 Medical Coverage Policy | Prior Authorization via Web-Based Tool for Procedures.  CPT 15820, 15821, 15822, 15823, 67900, 67901, 67902, 67903, 67904, 67906, 67908, 67909, 67911, 67914, 67915, 67916, 67917, 67921, 67922, 67923, 67924     

Please reference the Local Coverage Article: Blepharoplasty – Medical Policy Article A52837 on CMS.GOV.    The following link will take you directly to the article  https://www.cms.gov/medicare-coverage-database/details/article-details.aspx?articleId=52837&ver=15&DocID=A52837&bc=gAAAAAIAAAAA