Prior Auth Required

19380 - 21127; 21137; 21138; 21139; 21141; 21142; 21143; 21145; 21146; 21147; 21150; 21151; 21154;

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service21127; 21137; 21138; 21139; 21141; 21142; 21143; 21145; 21146; 21147; 21150; 21151; 21154;
Procedure / Service Description

Accessory items related to the use of a cardiac mechanical device also require a - 15836; 15837; 15838; 15839; 17106; 17107; 17108; 17360; 17999; 19300; 19316; 19318; 19324; 19325; 19328; 19330; 19340; 19342; 19350; 19357; 19361; 19364; 19366; 19367; 19368; 19369; 19370; 19380; 19396; 19499; 21011; 21012; 21029; 21085; 21120; 21121; 21122; 21123; 21125; 21127; 21137; 21138; 21139; 21141; 21142; 21143; 21145; 21146; 21147; 21150; 21151; 21154;

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.