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
Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter)
How to Submit
N/A - No authorization is required
Complex uroflowmetry (eg, calibrated electronic equipment)
How to Submit
N/A - No authorization is required
Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique
How to Submit
N/A - No authorization is required
Needle electromyography studies (EMG) of anal or urethral sphincter, any technique
How to Submit
N/A - No authorization is required
Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time)
How to Submit
N/A - No authorization is required
Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure)
How to Submit
N/A - No authorization is required
Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging
How to Submit
N/A - No authorization is required
Cystoplasty or cystourethroplasty, plastic operation on bladder and/or vesical neck (anterior Y-plasty, vesical fundus resection), any procedure, with or without wedge resection of posterior vesical neck
How to Submit
N/A - No authorization is required
Cystourethroplasty with unilateral or bilateral ureteroneocystostomy
How to Submit
N/A - No authorization is required
Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple
How to Submit
N/A - No authorization is required
Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair)
How to Submit
N/A - No authorization is required
Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra)
How to Submit
N/A - No authorization is required
Cystorrhaphy, suture of bladder wound, injury or rupture; simple
How to Submit
N/A - No authorization is required
Cystorrhaphy, suture of bladder wound, injury or rupture; complicated
How to Submit
N/A - No authorization is required
Closure of cystostomy (separate procedure)
How to Submit
N/A - No authorization is required
Closure of vesicovaginal fistula, abdominal approach
How to Submit
N/A - No authorization is required
Closure of vesicouterine fistula;
How to Submit
N/A - No authorization is required
Closure of vesicouterine fistula; with hysterectomy
Hysterectomy is defined as the operation of excising the uterus either through the abdominal wall or through the vagina.
Authorization Guidelines
The following diagnoses are accepted as validation of medical necessity for hysterectomies: Malignant and pre-malignant lesions of the female reproductive tract, Endometriosis Adenomyosis, Leiomyomas or fibroids, Salpingitis and oophoritis, Mild to moderate cervical dysplasia, when prior conservative procedures failed.
Hyperplasia of the endometrium Dysfunctional uterine bleeding, severe idiopathic menorrhagia and/or metrorrhagia Inflammatory peritonitis Intractable procidentia (prolapsed uterus) Perforation of the uterus by IUD Class IV or V pap smear Prophylactic oophorectomy for positive family history of BRCA-1 (breast cancer gene) Traumatic injury to the uterus with irreparable damage Complications of childbirth such as uterine rupture or intractable hemorrhage (for Medicaid beneficiaries only)
Limits
Dilation and curettage is not covered when performed in conjunction with a vaginal hysterectomy. Covered only when performed at the time of an abdominal hysterectomy.
Length of Stay
Covered once in a lifetime per individual
Exclusions
Dilation and curettage is not covered when performed in conjunction with a vaginal hysterectomy.
Diagnosis Requirements
Accepted diagnoses validating medical necessity are malignant and pre-malignant lesions of the female reproductive tract; endometriosis; adenomyosis; leiomyomas or fibroids; salpingitis and oophoritis; mild to moderate cervical dysplasia when prior conservative procedures failed; hyperplasia of the endometrium; dysfunctional uterine bleeding, severe idiopathic menorrhagia and/or metrorrhagia; inflammatory peritonitis; intractable procidentia (prolapsed uterus); perforation of the uterus by IUD; Class IV or V pap smear; prophylactic oophorectomy for positive family history of BRCA-1; traumatic injury to the uterus with irreparable damage; and complications of childbirth such as uterine rupture or intractable hemorrhage for Medicaid beneficiaries only. Health record documentation must support medical necessity and must be submitted for individuals under age 21 and for pelvic inflammatory disease, mild to moderate cervical dysplasia when prior conservative procedures failed, carcinoma in situ of unspecified organs, and uterine hemorrhage from placenta previa.
Place of Service
Inpatient hospital, Outpatient hospital.
How to Submit
N/A - No authorization is required
Resources
1E-1, Hysterectomy
Hysterectomy is defined as the operation of excising the uterus either through the abdominal wall or through the vagina.
Limits
Dilation and curettage is not covered when performed in conjunction with a vaginal hysterectomy. Covered only when performed at the time of an abdominal hysterectomy.
Length of Stay
Covered once in a lifetime per individual
Exclusions
Dilation and curettage is not covered when performed in conjunction with a vaginal hysterectomy.
Diagnosis Requirements
Accepted diagnoses validating medical necessity are malignant and pre-malignant lesions of the female reproductive tract; endometriosis; adenomyosis; leiomyomas or fibroids; salpingitis and oophoritis; mild to moderate cervical dysplasia when prior conservative procedures failed; hyperplasia of the endometrium; dysfunctional uterine bleeding, severe idiopathic menorrhagia and/or metrorrhagia; inflammatory peritonitis; intractable procidentia (prolapsed uterus); perforation of the uterus by IUD; Class IV or V pap smear; prophylactic oophorectomy for positive family history of BRCA-1; traumatic injury to the uterus with irreparable damage; and complications of childbirth such as uterine rupture or intractable hemorrhage for Medicaid beneficiaries only. Health record documentation must support medical necessity and must be submitted for individuals under age 21 and for pelvic inflammatory disease, mild to moderate cervical dysplasia when prior conservative procedures failed, carcinoma in situ of unspecified organs, and uterine hemorrhage from placenta previa.
Place of Service
Inpatient hospital, Outpatient hospital.
How to Submit
N/A - No authorization is required
Resources
Closure, exstrophy of bladder
How to Submit
N/A - No authorization is required
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