Prior Auth Required

33394 - database/view/lcd.aspx?lcdid= &ver=54&=

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Servicedatabase/view/lcd.aspx?lcdid= &ver=54&=
Procedure / Service Description

authorization approval, prior authorization will be reviewed using the Local - Label and Off-Label Uses (L33394). The LCD can be found on the CMS website at: https://www.cms.gov/medicare-coverage- database/view/lcd.aspx?lcdid=33394&ver=54&= • Testopel is billed with code S0189 and will require PA review. Testopel will be approved only for FDA-approved, Medicare-covered indications. It will not

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.