Prior Auth Required

50325 - Transplants Prior authorization required for an organ transplant evaluation and/or transplant. The following codes require prior authorization for kidney transplant

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceTransplants Prior authorization required for an organ transplant evaluation and/or transplant. The following codes require prior authorization for kidney transplant
Procedure / Service Description

Pediatrics standards for medical necessity. Clinical documentation must include - than < 29 weeks gestation. Transplants Prior authorization required for an organ transplant evaluation and/or transplant. The following codes require prior authorization for kidney transplant: 50300; 50320; 50323; 50325; Prior authorization is required for all transplant evaluations except corneal 50327; 50328; 50329;50360; 50365; 50380 transplants.

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.