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Update to Biomarker Codes Requiring Prior Authorization

Date: 07/19/23

Biomarker Codes Requiring Prior Authorization Effective 8/15/2023

Dear AzCH-Complete Care Plan (AzCH-CCP) and Care1st Providers and Staff:

In accordance with recent AHCCCS updates to AMPM 310-KK Biomarkers Testing, effective 8/15/2023 AzCH-CCP and Care1st will require prior authorization for the following codes:

  1. 0163U
  2. 0091U
  3. 81599
  4. 81327
  5. G0327
  6. 83520

Please visit the AHCCCS website for more information on AHCCCS policy 310-KK Biomarker Testing.

Please use the Pre-Auth Check Tools to confirm if a CPT/HCPCS code requires prior authorization.

AzCH providers and staff:

If you have questions, please contact your AzCH Provider Engagement Specialist. If you need your assigned Provider Engagement Specialist’s contact information, please email us at AzCHProviderEngagement@azcompletehealth.com.

Care1st providers and staff:

If you have questions, please call Network Management at 1-866-560-4042 (Options in order: 5, 7) or email SM_AZ_PNO@care1staz.com.

Thank you!