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CMS to Require Prior Authorization for Blepharoplasty Performed in the HOPD Beginning July 1, 2020

In the 2020 Hospital Outpatient and ASC Payment Final Rule, CMS finalized a policy to begin requiring prior authorization for several procedures, including blepharoplasty, for Medicare Part B patients when performed in a hospital outpatient department (HOPD). The policy, which takes effect July 1, 2020, is a result of an increased volume of certain procedures that may be medically-necessary but may also be performed cosmetically. CMS delayed the implementation of this policy to July to allow time for Medicare contractors to develop their processes.  

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