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
Excision of cyst or adenoma of thyroid, or transection of isthmus
Service Code
60200 (CPT) Excision of cyst or adenoma of thyroid, or transection of isthmus
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Partial thyroid lobectomy, unilateral; with or without isthmusectomy
Service Code
60210 (CPT) Partial thyroid lobectomy, unilateral; with or without isthmusectomy
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy
Service Code
60212 (CPT) Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Total thyroid lobectomy, unilateral; with or without isthmusectomy
Service Code
60220 (CPT) Total thyroid lobectomy, unilateral; with or without isthmusectomy
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy
Service Code
60225 (CPT) Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thyroidectomy, total or complete
Service Code
60240 (CPT) Thyroidectomy, total or complete
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection
Service Code
60252 (CPT) Thyroidectomy, total or subtotal for malignancy; with limited neck dissection
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thyroidectomy, total or subtotal for malignancy; with radical neck dissection
Service Code
60254 (CPT) Thyroidectomy, total or subtotal for malignancy; with radical neck dissection
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid
Service Code
60260 (CPT) Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach
Service Code
60270 (CPT) Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thyroidectomy, including substernal thyroid; cervical approach
Service Code
60271 (CPT) Thyroidectomy, including substernal thyroid; cervical approach
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Excision of thyroglossal duct cyst or sinus;
Service Code
60280 (CPT) Excision of thyroglossal duct cyst or sinus;
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Excision of thyroglossal duct cyst or sinus; recurrent
Service Code
60281 (CPT) Excision of thyroglossal duct cyst or sinus; recurrent
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Aspiration and/or injection, thyroid cyst
Service Code
60300 (CPT) Aspiration and/or injection, thyroid cyst
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Parathyroidectomy or exploration of parathyroid(s);
Service Code
60500 (CPT) Parathyroidectomy or exploration of parathyroid(s);
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Parathyroidectomy or exploration of parathyroid(s); re-exploration
Service Code
60502 (CPT) Parathyroidectomy or exploration of parathyroid(s); re-exploration
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach
Service Code
60505 (CPT) Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Parathyroid autotransplantation (List separately in addition to code for primary procedure)
Service Code
60512 (CPT) Parathyroid autotransplantation (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
Thymectomy, partial or total; transcervical approach (separate procedure)
Service Code
60520 (CPT) Thymectomy, partial or total; transcervical approach (separate procedure)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure)
Service Code
60521 (CPT) Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate 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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