Prior Auth Required

43499 - 43659; 43999; 44238; 44799; 44899; 44979; 45499; 45999; 46999; 47379; 47399;

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Service43659; 43999; 44238; 44799; 44899; 44979; 45499; 45999; 46999; 47379; 47399;
Procedure / Service Description

● Donor costs that are directly related to organ removal are covered services - CPT/HCPCS code cannot be used. Unlisted codes may be used for potentially 23929, 24999, 25999, 26989, 27299, 27599, 27899, 28899, 29799, 29999, 30999, investigational or potentially cosmetic services and are subject to review. 31299, 31599; 31899; 32999; 33999; 36299; 37501; 37799; 38129; 38589; 38999; 39499; 39599; 40799; 40899; 41599; 41899; 42299; 42699; 42999; 43289; 43499; 43659; 43999; 44238; 44799; 44899; 44979; 45499; 45999; 46999; 47379; 47399; 47579; 47999; 48999; 49329; 49659; 49999; 50549; 50949; 51999; 53899; 54699;

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.