The program aims to save patients and providers time by allowing qualifying providers to skip the prior authorization process for a number of procedure codes. The program is set to launch Oct. 1.
Here are the gastroenterology procedures, and their codes, that will be eligible for the new program:
74261: CT colonography DX image post process without contrast
74262: CT colonography DX image post process with contrast
74263: CT colonography screening image postprocessing
76975: GI endoscopic ultrasound S&I
78264: Gastric emptying imaging study
78265: Gastric emptying image STD with small bowel transit
78266: Gastric emptying image study with small bowel colon transit
78261: Gastric mucosa imaging
78262: Gastroesophageal reflux study
78278: Acute gastrointestinal blood loss imaging
78282: Gastrointestinal protein loss
78290: Intestine imaging
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