Highmark Blue Shield has expanded its list of procedures requiring pre-authorization. The full list of procedures is available on the Highmark Resource Center website:
It includes a significant number of home health and DME services, prosthetic devices and other services.
Highmark has also removed two procedures from the list, i.e., pharmacologic management (90862) and the new technology intraocular lens Category 3 (Q1003).
These changes will be effective April 1, 2007 and will apply to members enrolled in Select Blue, Direct Blue and Freedom Blue.