Prior Authorizations for Bone Marrow Procedures
Date: 02/02/17
We understand the importance of easy access to care, and we are committed to ensuring our prior authorization requirements continue to be appropriate and efficient.
Effective for services rendered after November 1, 2016, bone marrow aspirations and biopsies will no longer require prior authorization for NH Healthy Families and Ambetter from NH Healthy Families. The codes affected by this change include:
| Code | Description |
|---|---|
| 38220 | Bone Marrow: aspiration only |
| 38221 | Bone Marrow: Biopsy needle/trocar |
Please note that non-participating providers will need to continue obtaining prior authorizations for these procedures.
Please reach out to Provider Services at: 1-866-769-3085 with any questions. Thank you for partnering with NH Healthy Families.