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
Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; not otherwise specified, age 1 year or older
Service Code
00320 (CPT) Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; not otherwise specified, age 1 year or older
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0321 Angiocardiography
Service Code
0321 (Revenue) 0321 Angiocardiography
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; needle biopsy of thyroid
Service Code
00322 (CPT) Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; needle biopsy of thyroid
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0323 Arteriography
Service Code
0323 (Revenue) 0323 Arteriography
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0324 Chest x-ray
Service Code
0324 (Revenue) 0324 Chest x-ray
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Anesthesia for all procedures on the larynx and trachea in children younger than 1 year of age
Service Code
00326 (CPT) Anesthesia for all procedures on the larynx and trachea in children younger than 1 year of age
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0329 Other
Service Code
0329 (Revenue) 0329 Other
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0330 General
Service Code
0330 (Revenue) 0330 General
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0331 Chemotherapy administration-Injected
Service Code
0331 (Revenue) 0331 Chemotherapy administration-Injected
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0332 Chemotherapy administration-Oral
Service Code
0332 (Revenue) 0332 Chemotherapy administration-Oral
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0333 Radiation therapy
Service Code
0333 (Revenue) 0333 Radiation therapy
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0335 Chemotherapy administration-IV
Service Code
0335 (Revenue) 0335 Chemotherapy administration-IV
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0339 Other radiology
Service Code
0339 (Revenue) 0339 Other radiology
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0340 General
Service Code
0340 (Revenue) 0340 General
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0341 Diagnostic procedures
Service Code
0341 (Revenue) 0341 Diagnostic procedures
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0342 Therapeutic procedures
Service Code
0342 (Revenue) 0342 Therapeutic procedures
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0343 Diagnostic radiopharmaceuticals (effective 10/1/04)
Service Code
0343 (Revenue) 0343 Diagnostic radiopharmaceuticals (effective 10/1/04)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0344 Therapeutic radiopharmaceuticals (effective 10/1/04)
Service Code
0344 (Revenue) 0344 Therapeutic radiopharmaceuticals (effective 10/1/04)
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
0349 Other
Service Code
0349 (Revenue) 0349 Other
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
Anesthesia for procedures on major vessels of neck; not otherwise specified
Service Code
00350 (CPT) Anesthesia for procedures on major vessels of neck; not otherwise specified
Prior Authorization Required
No
Benefit Plan
Medicaid
Diagnosis Group
Physical Health
How to Submit
N/A - No authorization is required
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