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
Laparoscopy, surgical; with salpingostomy (salpingoneostomy)
How to Submit
N/A - No authorization is required
Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency
How to Submit
N/A - No authorization is required
Unlisted laparoscopy procedure, oviduct, ovary
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.
How to Submit
Please submit your request to Trillium Health Resources
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
Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)
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.
Lysis of adhesions (salpingolysis, ovariolysis)
How to Submit
N/A - No authorization is required
Tubotubal anastomosis
How to Submit
N/A - No authorization is required
Tubouterine implantation
How to Submit
N/A - No authorization is required
Fimbrioplasty
How to Submit
N/A - No authorization is required
Salpingostomy (salpingoneostomy)
How to Submit
N/A - No authorization is required
Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach
How to Submit
N/A - No authorization is required
Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach
How to Submit
N/A - No authorization is required
Drainage of ovarian abscess; vaginal approach, open
How to Submit
N/A - No authorization is required
Drainage of ovarian abscess; abdominal approach
How to Submit
N/A - No authorization is required
Transposition, ovary(s)
How to Submit
N/A - No authorization is required
Biopsy of ovary, unilateral or bilateral (separate procedure)
How to Submit
N/A - No authorization is required
Wedge resection or bisection of ovary, unilateral or bilateral
How to Submit
N/A - No authorization is required
Ovarian cystectomy, unilateral or bilateral
How to Submit
N/A - No authorization is required
Oophorectomy, partial or total, unilateral or bilateral;
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.
Oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or primary peritoneal malignancy, with para-aortic and pelvic lymph node biopsies, peritoneal washings, peritoneal biopsies, diaphragmatic assessments, with or without salpingecto
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.