Unlisted Procedure Code Prior Authorization Update
Effective October 21, 2024:
The following unlisted procedure codes will require prior authorization:
Code | Code Description |
|---|---|
67599 | UNLISTED PROC ORBIT |
39599 | UNLISTED PROC DIAPHRAGM |
49999 | UNLISTED PROC ABD PERITONEUM & OMENTUM |
33999 | UNLISTED PROC CARDIAC SURG |
79999 | UNLISTED RADIOPHARM THERAP PROC |
25999 | UNLISTED PROC FOREARM/WRIST |
47579 | UNLISTED LAPAROSCOPY BILIARY TRACT |
15999 | UNLISTED PROC EXC PRESS ULCER |
67399 | UNLISTED PX EXTRAOCULAR MUSC |
99199 | UNLISTED SPECIAL SERV/REPORT |
66999 | UNLISTED PROC ANT SEGMT EYE |
43659 | UNLISTED LAPAROSCOPY STOMACH |
41599 | UNLISTED PROC TONGUE FLOOR MOUTH |
45999 | UNLISTED PROC RECTUM |
27899 | UNLISTED PROC LEG/ANK |
51999 | UNLIS LAPS PX BLDR |
78799 | UNLISTED GENITOURINARY PROC DX NUCLEAR MEDS |
44799 | UNLISTED PX SMALL INTESTINE |
46999 | UNLISTED PROC ANUS |
47999 | UNLISTED PROC BILI TRACT |
77299 | UNLISTED PROC THERAP RAD CLINICAL TX PLANNING |
26989 | UNLISTED PROC HANDS/FINGERS |
27299 | UNLISTED PROC PELVIS/HIP JT |
78999 | UNLISTED MISC PROC DX NUCLEAR MEDS |