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
Exploration of epididymis, with or without biopsy
How to Submit
N/A - No authorization is required
Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral
How to Submit
N/A - No authorization is required
Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral
How to Submit
N/A - No authorization is required
Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication
How to Submit
N/A - No authorization is required
Excision of hydrocele; unilateral
How to Submit
N/A - No authorization is required
Excision of hydrocele; bilateral
How to Submit
N/A - No authorization is required
Repair of tunica vaginalis hydrocele (Bottle type)
How to Submit
N/A - No authorization is required
Drainage of scrotal wall abscess
How to Submit
N/A - No authorization is required
Scrotal exploration
How to Submit
N/A - No authorization is required
Removal of foreign body in scrotum
How to Submit
N/A - No authorization is required
Resection of scrotum
How to Submit
N/A - No authorization is required
Scrotoplasty; simple
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
Conditional Requirements
Pre-authorization required for all providers when billed with a Gender Reassignment Dx. For all others, auth is required for non-participating providers only.
How to Submit
If applicable, please submit your request to Trillium.
Scrotoplasty; complicated
Authorization Guidelines
Please submit any records and any other information that you believe support the member has met the applicable medical necessity criteria to Trillium.
Conditional Requirements
Pre-authorization required for all providers when billed with a Gender Reassignment Dx. For all others, auth is required for non-participating providers only.
How to Submit
If applicable, please submit your request to Trillium.
Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure)
How to Submit
N/A - No authorization is required
Sterilization Procedures
Sterilization means any medical procedure, treatment or an operation for the sole purpose of rendering an individual permanently incapable of reproducing and not related to the repair of a damaged or dysfunctional body part.
Limits
Medicaid shall not cover sterilization:
- a. when the Specific Criteria requirements have not been met; or
- b. for a permanent birth control system by bilateral occlusion of the fallopian
tubes or hysteroscopic tubal sterilization or transcervical sterilization (Essure).
Note: If a judicial court orders a sterilization procedure for a Medicaid beneficiary who is a ward of the county and mentally incompetent, the beneficiary is not eligible for sterilization procedures.
Length of Stay
Sterilization procedures are covered once in a lifetime unless documentation supports repeat due to failed procedure.
Exclusions
Medicaid shall not cover procedures for the reversal of sterilization. Sterilization reversal procedures are reverse bilateral fallopian tube trans-section by means of bilateral salpingoplasty and reversal of a bilateral vasectomy by means of a bilateral vasovasostomy. There is no EPSDT exception to the requirement that the beneficiary be at least 21 years old at the time consent is obtained.If a judicial court orders sterilization for a Medicaid beneficiary who is a ward of the county and mentally incompetent, the beneficiary is not eligible for sterilization procedures.
Additional Service Specifics
Consent is required for all voluntary sterilization. Sterilization consent must be obtained at least 30 and no more than 180 consecutive days before sterilization, except for preterm delivery or emergency abdominal surgery, when at least 72 hours must have passed since consent.
Sterilization procedures are covered once in a lifetime unless documentation supports repeat due to failed procedure.
Other Information
All providers, except ambulatory surgical centers, must append modifier FP to the procedure code when billing for sterilization procedures.
How to Submit
N/A - No authorization is required
Resources
Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral
How to Submit
N/A - No authorization is required
Vasovasostomy, vasovasorrhaphy
How to Submit
N/A - No authorization is required
Excision of hydrocele of spermatic cord, unilateral (separate procedure)
How to Submit
N/A - No authorization is required
Excision of lesion of spermatic cord (separate procedure)
How to Submit
N/A - No authorization is required
Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure)
How to Submit
N/A - No authorization is required
If you find any wrong or out of date information on our pages, we want to know. Please email info@TrilliumNC.org with any corrections.