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
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 1 lobe
Service Code
31660 (CPT) Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 1 lobe
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more lobes
Service Code
31661 (CPT) Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more lobes
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Catheterization with bronchial brush biopsy
Service Code
31717 (CPT) Catheterization with bronchial brush biopsy
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Catheter aspiration (separate procedure); nasotracheal
Service Code
31720 (CPT) Catheter aspiration (separate procedure); nasotracheal
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Catheter aspiration (separate procedure); tracheobronchial with fiberscope, bedside
Service Code
31725 (CPT) Catheter aspiration (separate procedure); tracheobronchial with fiberscope, bedside
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy
Service Code
31730 (CPT) Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Tracheoplasty; cervical
Service Code
31750 (CPT) Tracheoplasty; cervical
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Tracheoplasty; tracheopharyngeal fistulization, each stage
Service Code
31755 (CPT) Tracheoplasty; tracheopharyngeal fistulization, each stage
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Tracheoplasty; intrathoracic
Service Code
31760 (CPT) Tracheoplasty; intrathoracic
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Carinal reconstruction
Service Code
31766 (CPT) Carinal reconstruction
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Bronchoplasty; graft repair
Service Code
31770 (CPT) Bronchoplasty; graft repair
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Bronchoplasty; excision stenosis and anastomosis
Service Code
31775 (CPT) Bronchoplasty; excision stenosis and anastomosis
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Excision tracheal stenosis and anastomosis; cervical
Service Code
31780 (CPT) Excision tracheal stenosis and anastomosis; cervical
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Excision tracheal stenosis and anastomosis; cervicothoracic
Service Code
31781 (CPT) Excision tracheal stenosis and anastomosis; cervicothoracic
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Excision of tracheal tumor or carcinoma; cervical
Service Code
31785 (CPT) Excision of tracheal tumor or carcinoma; cervical
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Excision of tracheal tumor or carcinoma; thoracic
Service Code
31786 (CPT) Excision of tracheal tumor or carcinoma; thoracic
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Suture of tracheal wound or injury; cervical
Service Code
31800 (CPT) Suture of tracheal wound or injury; cervical
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Suture of tracheal wound or injury; intrathoracic
Service Code
31805 (CPT) Suture of tracheal wound or injury; intrathoracic
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Surgical closure tracheostomy or fistula; without plastic repair
Service Code
31820 (CPT) Surgical closure tracheostomy or fistula; without plastic repair
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Surgical closure tracheostomy or fistula; with plastic repair
Service Code
31825 (CPT) Surgical closure tracheostomy or fistula; with plastic repair
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
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