As we shared in October, we'll require prior authorization following InterQual® criteria for certain varicose vein procedures effective Jan. 1, 2025, for commercial and Medicaid plans and in 2026 for Medicare plans.
See the Varicose Vein Treatment (#91326) medical policy for a list of impacted procedures and follow the authorization submissions processes outlined below:
- Participating providers: Use our online authorizations tool to go to GuidingCare (login required).
- Out-of-network providers: Use this Medical Authorization form.