6/26/2026
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Posted by Provider Relations
The following section of the Fidelis Care authorization grids has been updated effective July 1, 2026.
The following codes have been added to the Medicaid, CHP, Essential Plan, Ambetter Metal-Level Plans, and Medicare Authorization Grids and require prior authorization:
0636U Babesia (Babesiosis), antibody detection of 20 recombinant protein groups, IgG
0637U Babesia (Babesiosis), antibody detection of 20 recombinant protein groups, IgM
0638U Bartonella (Bartonellosis), antibody detection of 32 recombinant protein groups, IgG
0639U Bartonella (Bartonellosis), antibody detection of 32 recombinant protein groups, IgM
Visit: Authorization Grids