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
Laryngoscopy, indirect; with removal of foreign body
How to Submit
N/A - No authorization is required
Laryngoscopy, indirect; with removal of lesion
How to Submit
N/A - No authorization is required
Laryngoscopy, indirect; with vocal cord injection
How to Submit
N/A - No authorization is required
Laryngoscopy direct, with or without tracheoscopy; for aspiration
How to Submit
N/A - No authorization is required
Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn
How to Submit
N/A - No authorization is required
Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn
How to Submit
N/A - No authorization is required
Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope
How to Submit
N/A - No authorization is required
Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator
How to Submit
N/A - No authorization is required
Laryngoscopy direct, with or without tracheoscopy; with dilation, initial
How to Submit
N/A - No authorization is required
Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent
How to Submit
N/A - No authorization is required
Laryngoscopy, direct, operative, with foreign body removal;
How to Submit
N/A - No authorization is required
Laryngoscopy, direct, operative, with foreign body removal; with operating microscope or telescope
How to Submit
N/A - No authorization is required
Laryngoscopy, direct, operative, with biopsy;
How to Submit
N/A - No authorization is required
Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope
How to Submit
N/A - No authorization is required
Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis;
How to Submit
N/A - No authorization is required
Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope
How to Submit
N/A - No authorization is required
Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s)
How to Submit
N/A - No authorization is required
Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with graft(s) (includes obtaining autograft)
How to Submit
N/A - No authorization is required
Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age
How to Submit
N/A - No authorization is required
Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, age 12 years or older
How to Submit
N/A - No authorization is required
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