Prior Auth Required

50360 - Prior authorization is required for all transplant evaluations except corneal

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServicePrior authorization is required for all transplant evaluations except corneal
Procedure / Service Description

Pediatrics standards for medical necessity. Clinical documentation must include - 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. The following codes require authorization at the time of admission for the transplant to facilitate the

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.