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Prior Authorizations for Bone Marrow Procedures

Date: 07/29/16

Ambetter from Buckeye Health Plan understands the importance of easy access to care, and we are committed to ensuring our prior authorization requirements continue to be appropriate and efficient.

Effective November 1, 2016, bone marrow aspirations and biopsies will no longer require prior authorization. The codes affected by this change include:

CodeDescription
38220 Bone Marrow: aspiration only
38221Bone Marrow: Biopsy needle/trocar 


Please note that non-par providers will need to continue obtaining prior authorizations for these procedures.

If you have any questions, please reach out to Provider Services at 1-877-687-1189.  And, thank you for partnering with Ambetter from Buckeye Health Plan.