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
Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hysteroscopy and/or hysterosalpingography
Service Code
00952 (CPT) Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hysteroscopy and/or hysterosalpingography
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0960 General
Service Code
0960 (Revenue) 0960 General
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0961 Psychiatric
Service Code
0961 (Revenue) 0961 Psychiatric
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0962 Ophthalmology
Service Code
0962 (Revenue) 0962 Ophthalmology
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0963 Anesthesiologist (MD)
Service Code
0963 (Revenue) 0963 Anesthesiologist (MD)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0964 Anesthetist (CRNA)
Service Code
0964 (Revenue) 0964 Anesthetist (CRNA)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0969 Other professional fees
Service Code
0969 (Revenue) 0969 Other professional fees
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0970 General
Service Code
0970 (Revenue) 0970 General
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0971 Laboratory
Service Code
0971 (Revenue) 0971 Laboratory
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0972 Radiology-Diagnostic
Service Code
0972 (Revenue) 0972 Radiology-Diagnostic
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0973 Radiology-Therapeutic
Service Code
0973 (Revenue) 0973 Radiology-Therapeutic
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0974 Radiology-Nuclear medicine
Service Code
0974 (Revenue) 0974 Radiology-Nuclear medicine
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0975 Operating room
Service Code
0975 (Revenue) 0975 Operating room
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0976 Respiratory therapy
Service Code
0976 (Revenue) 0976 Respiratory therapy
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0977 Physical therapy
Service Code
0977 (Revenue) 0977 Physical therapy
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0978 Occupational therapy
Service Code
0978 (Revenue) 0978 Occupational therapy
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0979 Speech pathology
Service Code
0979 (Revenue) 0979 Speech pathology
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0980 General
Service Code
0980 (Revenue) 0980 General
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0981 Emergency room
Service Code
0981 (Revenue) 0981 Emergency room
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0982 Outpatient services
Service Code
0982 (Revenue) 0982 Outpatient services
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
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