Prior Auth Required

78399 - 84999; 85999; 86849; 86999; 87999; 88099; 88199; 88299; 88399; 88749; 89240;

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Service84999; 85999; 86849; 86999; 87999; 88099; 88199; 88299; 88399; 88749; 89240;
Procedure / Service Description

● Donor costs that are directly related to organ removal are covered services - 64999; 66999; 67299; 67399; 67599; 67999; 68399; 68899; 69399; 69799; 69949; 69979; 76496; 76497; 76498; 76499; 76999; 77299; 77399; 77499; 77799; 78099; 78199; 78299; 78399; 78599; 78699; 78799; 78999; 81099; 81479; 81599; 84999; 85999; 86849; 86999; 87999; 88099; 88199; 88299; 88399; 88749; 89240; 89398; 90399; 90749; 90899; 91299; 92499; 92700; 93799; 93998; 94799; 95199;

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.