Effective November 22, 2018, we will implement a new version of the Outpatient Surgical Day Care list (not in effect until 11/22/18). This list is not all inclusive and is intended to serve as a guide to determine the most appropriate setting for services our members receive.
Please note that all services, even those that do not require an authorization, are subject to our medical necessity requirements and may be subject to audit or review. These may occur even after the service has been performed or the claim has been paid.
Until then, please refer to the 2017 Outpatient Surgical Day Care list.
To access both the 2017 and 2018 lists, log in and go to Billing Resources>Specific Billing Services.