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
12465 Results
Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age
Service Code
31553 (CPT) Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, age 12 years or older
Service Code
31554 (CPT) Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, age 12 years or older
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Laryngoscopy, direct, operative, with arytenoidectomy;
Service Code
31560 (CPT) Laryngoscopy, direct, operative, with arytenoidectomy;
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope
Service Code
31561 (CPT) Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Laryngoscopy, direct, with injection into vocal cord(s), therapeutic;
Service Code
31570 (CPT) Laryngoscopy, direct, with injection into vocal cord(s), therapeutic;
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope
Service Code
31571 (CPT) Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral
Service Code
31572 (CPT) Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral
Service Code
31573 (CPT) Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral
Service Code
31574 (CPT) Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Laryngoscopy, flexible; diagnostic
Service Code
31575 (CPT) Laryngoscopy, flexible; diagnostic
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Laryngoscopy, flexible; with biopsy(ies)
Service Code
31576 (CPT) Laryngoscopy, flexible; with biopsy(ies)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Laryngoscopy, flexible; with removal of foreign body(s)
Service Code
31577 (CPT) Laryngoscopy, flexible; with removal of foreign body(s)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Laryngoscopy, flexible; with removal of lesion(s), non-laser
Service Code
31578 (CPT) Laryngoscopy, flexible; with removal of lesion(s), non-laser
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Laryngoscopy, flexible or rigid telescopic, with stroboscopy
Service Code
31579 (CPT) Laryngoscopy, flexible or rigid telescopic, with stroboscopy
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion
Service Code
31580 (CPT) Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed
Service Code
31584 (CPT) Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Laryngoplasty, cricoid split, without graft placement
Service Code
31587 (CPT) Laryngoplasty, cricoid split, without graft placement
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Laryngeal reinnervation by neuromuscular pedicle
Service Code
31590 (CPT) Laryngeal reinnervation by neuromuscular pedicle
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Laryngoplasty, medialization, unilateral
Service Code
31591 (CPT) Laryngoplasty, medialization, unilateral
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Cricotracheal resection
Service Code
31592 (CPT) Cricotracheal resection
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
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