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:
- 0163U
- 0091U
- 81599
- 81327
- G0327
- 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.
- The AzCH-CCP Pre-Auth Check Tool: The Arizona Complete Health website > For Providers > Pre-Auth Check.
- The Care1st Pre-Auth Check Tool: The Care1st website > For Providers > Pre-Auth Check.
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!