PA Lookup
If you have questions about prior authorizations, please call:
Member and Recipient Service Line: 1-877-685-2415
Provider Support Service Line: 1-855-250-1539
Insertion, nasal septal prosthesis (button)
How to Submit
N/A - No authorization is required
Removal foreign body, intranasal; office type procedure
How to Submit
N/A - No authorization is required
Removal foreign body, intranasal; requiring general anesthesia
How to Submit
N/A - No authorization is required
Removal foreign body, intranasal; by lateral rhinotomy
How to Submit
N/A - No authorization is required
Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip
Authorization Guidelines
The provider shall submit the following:
- a. the prior approval request; and
- b. all health care records and any other records that support the beneficiary has
met the specific criteria in Subsection 3.2.1 of this policy including:
- 1. Location and cause of the defect or deformity;
- 2. Pre-operative medical photographs of the defect consisting of frontal,
lateral, and columellar reviews. Medical photographs should be clearly marked with:
- A. the beneficiary’s first and last name;
- B. the beneficiary’s identification number;
- C. the provider’s name and NPI;
- D. and the date the photographs were taken;
- 3. A list of the CPT codes describing the procedure to be performed;
- 4. Documentation of frequency, severity, and description of symptoms;
- 5. Documentation of the number of sinus infections that have occurred in
the last 365 days when applicable;
- 6. Documentation of the number of episodes of epistaxis that have occurred
when applicable;
- 7. Bodily function that will be improved or restored;
- 8. Medical records documenting the history of the trauma or injury (if
applicable), with the date of injury and any other related surgeries;
- 9. Documentation of sleep apnea and symptoms of breathing obstruction, if
applicable, including consecutive treatment rendered; and
- 10. Postoperative plan of care.
Note: If the Medicaid beneficiary is under 21 years of age, information supporting that all EPSDT criteria are met and evidence-based literature supporting the request, if available.
How to Submit
Please submit your request to Trillium Health Resources
Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip
Authorization Guidelines
The provider shall submit the following:
- a. the prior approval request; and
- b. all health care records and any other records that support the beneficiary has
met the specific criteria in Subsection 3.2.1 of this policy including:
- 1. Location and cause of the defect or deformity;
- 2. Pre-operative medical photographs of the defect consisting of frontal,
lateral, and columellar reviews. Medical photographs should be clearly marked with:
- A. the beneficiary’s first and last name;
- B. the beneficiary’s identification number;
- C. the provider’s name and NPI;
- D. and the date the photographs were taken;
- 3. A list of the CPT codes describing the procedure to be performed;
- 4. Documentation of frequency, severity, and description of symptoms;
- 5. Documentation of the number of sinus infections that have occurred in
the last 365 days when applicable;
- 6. Documentation of the number of episodes of epistaxis that have occurred
when applicable;
- 7. Bodily function that will be improved or restored;
- 8. Medical records documenting the history of the trauma or injury (if
applicable), with the date of injury and any other related surgeries;
- 9. Documentation of sleep apnea and symptoms of breathing obstruction, if
applicable, including consecutive treatment rendered; and
- 10. Postoperative plan of care.
Note: If the Medicaid beneficiary is under 21 years of age, information supporting that all EPSDT criteria are met and evidence-based literature supporting the request, if available.
How to Submit
Please submit your request to Trillium Health Resources
Rhinoplasty, primary; including major septal repair
Authorization Guidelines
The provider shall submit the following:
- a. the prior approval request; and
- b. all health care records and any other records that support the beneficiary has
met the specific criteria in Subsection 3.2.1 of this policy including:
- 1. Location and cause of the defect or deformity;
- 2. Pre-operative medical photographs of the defect consisting of frontal,
lateral, and columellar reviews. Medical photographs should be clearly marked with:
- A. the beneficiary’s first and last name;
- B. the beneficiary’s identification number;
- C. the provider’s name and NPI;
- D. and the date the photographs were taken;
- 3. A list of the CPT codes describing the procedure to be performed;
- 4. Documentation of frequency, severity, and description of symptoms;
- 5. Documentation of the number of sinus infections that have occurred in
the last 365 days when applicable;
- 6. Documentation of the number of episodes of epistaxis that have occurred
when applicable;
- 7. Bodily function that will be improved or restored;
- 8. Medical records documenting the history of the trauma or injury (if
applicable), with the date of injury and any other related surgeries;
- 9. Documentation of sleep apnea and symptoms of breathing obstruction, if
applicable, including consecutive treatment rendered; and
- 10. Postoperative plan of care.
Note: If the Medicaid beneficiary is under 21 years of age, information supporting that all EPSDT criteria are met and evidence-based literature supporting the request, if available.
How to Submit
Please submit your request to Trillium Health Resources
Rhinoplasty, secondary; minor revision (small amount of nasal tip work)
Authorization Guidelines
The provider shall submit the following:
- a. the prior approval request; and
- b. all health care records and any other records that support the beneficiary has
met the specific criteria in Subsection 3.2.1 of this policy including:
- 1. Location and cause of the defect or deformity;
- 2. Pre-operative medical photographs of the defect consisting of frontal,
lateral, and columellar reviews. Medical photographs should be clearly marked with:
- A. the beneficiary’s first and last name;
- B. the beneficiary’s identification number;
- C. the provider’s name and NPI;
- D. and the date the photographs were taken;
- 3. A list of the CPT codes describing the procedure to be performed;
- 4. Documentation of frequency, severity, and description of symptoms;
- 5. Documentation of the number of sinus infections that have occurred in
the last 365 days when applicable;
- 6. Documentation of the number of episodes of epistaxis that have occurred
when applicable;
- 7. Bodily function that will be improved or restored;
- 8. Medical records documenting the history of the trauma or injury (if
applicable), with the date of injury and any other related surgeries;
- 9. Documentation of sleep apnea and symptoms of breathing obstruction, if
applicable, including consecutive treatment rendered; and
- 10. Postoperative plan of care.
Note: If the Medicaid beneficiary is under 21 years of age, information supporting that all EPSDT criteria are met and evidence-based literature supporting the request, if available.
How to Submit
Please submit your request to Trillium Health Resources
Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)
Authorization Guidelines
The provider shall submit the following:
- a. the prior approval request; and
- b. all health care records and any other records that support the beneficiary has
met the specific criteria in Subsection 3.2.1 of this policy including:
- 1. Location and cause of the defect or deformity;
- 2. Pre-operative medical photographs of the defect consisting of frontal,
lateral, and columellar reviews. Medical photographs should be clearly marked with:
- A. the beneficiary’s first and last name;
- B. the beneficiary’s identification number;
- C. the provider’s name and NPI;
- D. and the date the photographs were taken;
- 3. A list of the CPT codes describing the procedure to be performed;
- 4. Documentation of frequency, severity, and description of symptoms;
- 5. Documentation of the number of sinus infections that have occurred in
the last 365 days when applicable;
- 6. Documentation of the number of episodes of epistaxis that have occurred
when applicable;
- 7. Bodily function that will be improved or restored;
- 8. Medical records documenting the history of the trauma or injury (if
applicable), with the date of injury and any other related surgeries;
- 9. Documentation of sleep apnea and symptoms of breathing obstruction, if
applicable, including consecutive treatment rendered; and
- 10. Postoperative plan of care.
Note: If the Medicaid beneficiary is under 21 years of age, information supporting that all EPSDT criteria are met and evidence-based literature supporting the request, if available.
How to Submit
Please submit your request to Trillium Health Resources
Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)
Authorization Guidelines
The provider shall submit the following:
- a. the prior approval request; and
- b. all health care records and any other records that support the beneficiary has
met the specific criteria in Subsection 3.2.1 of this policy including:
- 1. Location and cause of the defect or deformity;
- 2. Pre-operative medical photographs of the defect consisting of frontal,
lateral, and columellar reviews. Medical photographs should be clearly marked with:
- A. the beneficiary’s first and last name;
- B. the beneficiary’s identification number;
- C. the provider’s name and NPI;
- D. and the date the photographs were taken;
- 3. A list of the CPT codes describing the procedure to be performed;
- 4. Documentation of frequency, severity, and description of symptoms;
- 5. Documentation of the number of sinus infections that have occurred in
the last 365 days when applicable;
- 6. Documentation of the number of episodes of epistaxis that have occurred
when applicable;
- 7. Bodily function that will be improved or restored;
- 8. Medical records documenting the history of the trauma or injury (if
applicable), with the date of injury and any other related surgeries;
- 9. Documentation of sleep apnea and symptoms of breathing obstruction, if
applicable, including consecutive treatment rendered; and
- 10. Postoperative plan of care.
Note: If the Medicaid beneficiary is under 21 years of age, information supporting that all EPSDT criteria are met and evidence-based literature supporting the request, if available.
How to Submit
Please submit your request to Trillium Health Resources
Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip only
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
How to Submit
Please submit your request to Trillium Health Resources
Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip, septum, osteotomies
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
How to Submit
Please submit your request to Trillium Health Resources
Repair of nasal vestibular stenosis (eg, spreader grafting, lateral nasal wall reconstruction)
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
How to Submit
Please submit your request to Trillium Health Resources
Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s)
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
How to Submit
Please submit your request to Trillium Health Resources
Repair of nasal valve collapse with low energy, temperature-controlled (ie, radiofrequency) subcutaneous/submucosal remodeling
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
How to Submit
Please submit your request to Trillium Health Resources
Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
How to Submit
Please submit your request to Trillium Health Resources
Repair choanal atresia; intranasal
How to Submit
N/A - No authorization is required
Repair choanal atresia; transpalatine
How to Submit
N/A - No authorization is required
Lysis intranasal synechia
How to Submit
N/A - No authorization is required
Repair fistula; oromaxillary (combine with 31030 if antrotomy is included)
How to Submit
N/A - No authorization is required
If you find any wrong or out of date information on our pages, we want to know. Please email info@TrilliumNC.org with any corrections.