Prior Auth Required

0659T - Supersaturated oxygen intracoronary infusion during PCI for AMI All

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceSupersaturated oxygen intracoronary infusion during PCI for AMI All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Service Category Benefit/Description Codes Requiring Authorization Member Program* Experimental continued Remote OCT of retina – patient initiated capture/transmission 0604T, 0605T, 0606T All Supersaturated oxygen intracoronary infusion during PCI for AMI 0659T All Oncology (brain) – 3D spheroid culture 12 drug response 0248U All Osseointegrated skull implant – magnetic transcutaneous (implant) 69716 All

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.