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
Insertion of indwelling tunneled pleural catheter with cuff
Service Code
32550 (CPT) Insertion of indwelling tunneled pleural catheter with cuff
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)
Service Code
32551 (CPT) Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Removal of indwelling tunneled pleural catheter with cuff
Service Code
32552 (CPT) Removal of indwelling tunneled pleural catheter with cuff
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-thoracic, single or multiple
Service Code
32553 (CPT) Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-thoracic, single or multiple
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance
Service Code
32554 (CPT) Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance
Service Code
32555 (CPT) Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance
Service Code
32556 (CPT) Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance
Service Code
32557 (CPT) Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Instillation, via chest tube/catheter, agent for pleurodesis (eg, talc for recurrent or persistent pneumothorax)
Service Code
32560 (CPT) Instillation, via chest tube/catheter, agent for pleurodesis (eg, talc for recurrent or persistent pneumothorax)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day
Service Code
32561 (CPT) Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); subsequent day
Service Code
32562 (CPT) Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); subsequent day
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy
Service Code
32601 (CPT) Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy
Service Code
32604 (CPT) Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy
Service Code
32606 (CPT) Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral
Service Code
32607 (CPT) Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral
Service Code
32608 (CPT) Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy; with biopsy(ies) of pleura
Service Code
32609 (CPT) Thoracoscopy; with biopsy(ies) of pleura
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)
Service Code
32650 (CPT) Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with partial pulmonary decortication
Service Code
32651 (CPT) Thoracoscopy, surgical; with partial pulmonary decortication
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis
Service Code
32652 (CPT) Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
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