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

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12465 Results

0290 General

Service Code
0290 (Revenue) 0290 General
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

How to Submit

N/A - No authorization is required

0291 Rental

Service Code
0291 (Revenue) 0291 Rental
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

How to Submit

N/A - No authorization is required

0292 Purchase of new DME

Service Code
0292 (Revenue) 0292 Purchase of new DME
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

How to Submit

N/A - No authorization is required

0293 Purchase of used DME

Service Code
0293 (Revenue) 0293 Purchase of used DME
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

How to Submit

N/A - No authorization is required

0294 Supplies/drugs for DME effectiveness (HHAs only)

Service Code
0294 (Revenue) 0294 Supplies/drugs for DME effectiveness (HHAs only)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

How to Submit

N/A - No authorization is required

0299 Other equipment

Service Code
0299 (Revenue) 0299 Other equipment
Prior Authorization Required
Yes
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

Authorization Guidelines

See the Carolina Complete Health site for specific requirements

Reauthorization Guidelines

See the Carolina Complete Health site for specific requirements

How to Submit

Please submit your request to Carolina Complete Health

Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and posterior trunk, not otherwise specified

Service Code
00300 (CPT) Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and posterior trunk, not otherwise specified
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

How to Submit

N/A - No authorization is required

0301 Chemistry

Service Code
0301 (Revenue) 0301 Chemistry
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

How to Submit

N/A - No authorization is required

0302 Immunology

Service Code
0302 (Revenue) 0302 Immunology
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

How to Submit

N/A - No authorization is required

0303 Renal patient (home)

Service Code
0303 (Revenue) 0303 Renal patient (home)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

How to Submit

N/A - No authorization is required

0304 Nonroutine dialysis

Service Code
0304 (Revenue) 0304 Nonroutine dialysis
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

How to Submit

N/A - No authorization is required

0305 Hematology

Service Code
0305 (Revenue) 0305 Hematology
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

How to Submit

N/A - No authorization is required

0306 Bacteriology and microbiology

Service Code
0306 (Revenue) 0306 Bacteriology and microbiology
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

How to Submit

N/A - No authorization is required

0307 Urology

Service Code
0307 (Revenue) 0307 Urology
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

How to Submit

N/A - No authorization is required

0309 Other laboratory

Service Code
0309 (Revenue) 0309 Other laboratory
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

How to Submit

N/A - No authorization is required

0310 General

Service Code
0310 (Revenue) 0310 General
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

How to Submit

N/A - No authorization is required

0311 Cytology

Service Code
0311 (Revenue) 0311 Cytology
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

How to Submit

N/A - No authorization is required

0312 Histology

Service Code
0312 (Revenue) 0312 Histology
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

How to Submit

N/A - No authorization is required

0314 Biopsy

Service Code
0314 (Revenue) 0314 Biopsy
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

How to Submit

N/A - No authorization is required

0319 Other

Service Code
0319 (Revenue) 0319 Other
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health

How to Submit

N/A - No authorization is required