PA Lookup
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Provider Support Service Line: 1-855-250-1539
12465 Results
Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit
Service Code
32653 (CPT) Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with control of traumatic hemorrhage
Service Code
32654 (CPT) Thoracoscopy, surgical; with control of traumatic hemorrhage
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with resection-plication of bullae, includes any pleural procedure when performed
Service Code
32655 (CPT) Thoracoscopy, surgical; with resection-plication of bullae, includes any pleural procedure when performed
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with parietal pleurectomy
Service Code
32656 (CPT) Thoracoscopy, surgical; with parietal pleurectomy
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac
Service Code
32658 (CPT) Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage
Service Code
32659 (CPT) Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass
Service Code
32661 (CPT) Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass
Service Code
32662 (CPT) Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with lobectomy (single lobe)
Service Code
32663 (CPT) Thoracoscopy, surgical; with lobectomy (single lobe)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with thoracic sympathectomy
Service Code
32664 (CPT) Thoracoscopy, surgical; with thoracic sympathectomy
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with esophagomyotomy (Heller type)
Service Code
32665 (CPT) Thoracoscopy, surgical; with esophagomyotomy (Heller type)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral
Service Code
32666 (CPT) Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure)
Service Code
32667 (CPT) Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure)
Service Code
32668 (CPT) Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)
Service Code
32669 (CPT) Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with removal of two lobes (bilobectomy)
Service Code
32670 (CPT) Thoracoscopy, surgical; with removal of two lobes (bilobectomy)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with removal of lung (pneumonectomy)
Service Code
32671 (CPT) Thoracoscopy, surgical; with removal of lung (pneumonectomy)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reduction (LVRS), unilateral includes any pleural procedure, when performed
Service Code
32672 (CPT) Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reduction (LVRS), unilateral includes any pleural procedure, when performed
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral
Service Code
32673 (CPT) Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure)
Service Code
32674 (CPT) Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
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