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
12437 Results
Natriuretic peptide
Service Code
83880 (CPT) Natriuretic peptide
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Nephelometry, each analyte not elsewhere specified
Service Code
83883 (CPT) Nephelometry, each analyte not elsewhere specified
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Nickel
Service Code
83885 (CPT) Nickel
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Nucleotidase 5'-
Service Code
83915 (CPT) Nucleotidase 5'-
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Oligoclonal immune (oligoclonal bands)
Service Code
83916 (CPT) Oligoclonal immune (oligoclonal bands)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Organic acids; total, quantitative, each specimen
Service Code
83918 (CPT) Organic acids; total, quantitative, each specimen
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Organic acids; qualitative, each specimen
Service Code
83919 (CPT) Organic acids; qualitative, each specimen
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Organic acid, single, quantitative
Service Code
83921 (CPT) Organic acid, single, quantitative
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Osmolality; blood
Service Code
83930 (CPT) Osmolality; blood
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Osmolality; urine
Service Code
83935 (CPT) Osmolality; urine
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Osteocalcin (bone g1a protein)
Service Code
83937 (CPT) Osteocalcin (bone g1a protein)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Oxalate
Service Code
83945 (CPT) Oxalate
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Oncoprotein; HER-2/neu
Service Code
83950 (CPT) Oncoprotein; HER-2/neu
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Oncoprotein; des-gamma-carboxy-prothrombin (DCP)
Service Code
83951 (CPT) Oncoprotein; des-gamma-carboxy-prothrombin (DCP)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Parathormone (parathyroid hormone)
Service Code
83970 (CPT) Parathormone (parathyroid hormone)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
pH; body fluid, not otherwise specified
Service Code
83986 (CPT) pH; body fluid, not otherwise specified
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
pH; exhaled breath condensate
Service Code
83987 (CPT) pH; exhaled breath condensate
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Calprotectin, fecal
Service Code
83993 (CPT) Calprotectin, fecal
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Phenylalanine (PKU), blood
Service Code
84030 (CPT) Phenylalanine (PKU), blood
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Phenylketones, qualitative
Service Code
84035 (CPT) Phenylketones, qualitative
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
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