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
Excision of pilonidal cyst or sinus; complicated
How to Submit
N/A - No authorization is required
Injection, intralesional; up to and including 7 lesions
How to Submit
N/A - No authorization is required
Injection, intralesional; more than 7 lesions
How to Submit
N/A - No authorization is required
Breast Surgeries
Breast reconstructive surgery is performed following a mastectomy to establish symmetry with the contralateral breast or following bilateral mastectomy. It includes creation of a new breast mound and nipple-areolar reconstruction. Reconstructive surgery may also include reduction mammaplasty, mastopexy, or augmentation on the contralateral breast to establish symmetry; breast implants, tissue flaps, or both may be placed where natural breast tissue has been removed.
Limits
Breast implants are not covered when used for breast enlargement for cosmetic purposes.
Removal of mammary implants or mammary implant material is not covered for cosmetic purposes.
Augmentation mammaplasty with or without prosthesis is not covered for cosmetic purposes.
Correction of inverted nipples is not covered.
Preparation of moulage for custom breast implants is not covered.
Periprosthetic capsulotomy and periprosthetic capsulectomy following augmentation are not covered.
Mastopexy is not covered except when the criteria for breast reconstructive surgery are met.
Services are also not covered when the beneficiary does not meet eligibility requirements, does not meet Section 3.0 criteria, the service duplicates another provider's service, or the service is experimental, investigational, or part of a clinical trial.
Exclusions
Male Gynecomastia-Service is for male beneficiaries; the description specifies surgical removal of breast tissue from adult males.
Adult pathway requires persistence for more than 3 to 4 months after pathological causes are ruled out.
Adolescent pathway requires persistence for more than 6 months after pathological causes are ruled out.
For male gynecomastia specifically, coverage is not supported when the breast enlargement is due to normal transient pubertal enlargement, obesity or fatty rather than glandular tissue, drug treatments that resolve when stopped, medications, non-covered therapies, alcohol, or illicit drugs such as marijuana or anabolic steroids.
Fibrocystic disease is not a legitimate reason for prophylactic mastectomy in the absence of documented risk factors.
Place of Service
Inpatient hospital, Outpatient hospital, Office
How to Submit
N/A - No authorization is required
Resources
Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm
How to Submit
N/A - No authorization is required
Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; each additional 20.0 sq cm, or part thereof (List separately in addition to code for primary procedure)
How to Submit
N/A - No authorization is required
Subcutaneous injection of filling material (eg, collagen); 1 cc or less
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
Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc
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
Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc
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
Subcutaneous injection of filling material (eg, collagen); over 10.0 cc
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
Insertion of tissue expander(s) for other than breast, including subsequent expansion
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.
Replacement of tissue expander with permanent implant
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
Removal of tissue expander without insertion of implant
How to Submit
N/A - No authorization is required
Removal, implantable contraceptive capsules
How to Submit
N/A - No authorization is required
Subcutaneous hormone pellet implantation (implantation of estradiol and/or testosterone pellets beneath the skin)
How to Submit
N/A - No authorization is required
Insertion, non-biodegradable drug delivery implant
How to Submit
N/A - No authorization is required
Removal, non-biodegradable drug delivery implant
How to Submit
N/A - No authorization is required
Removal with reinsertion, non-biodegradable drug delivery implant
How to Submit
N/A - No authorization is required
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less
How to Submit
N/A - No authorization is required
Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm
How to Submit
N/A - No authorization is required
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