Prior Auth Services.pdf

Blepharoplasty, blepharoptosis repair, and brow ptosis repair services require prior authorization, including codes 15820, 15821, 15822, 15823, 67900, 67901, 67902, 67903, 67904, 67906, and 67908. Botulinum toxin injection services, including codes 64612, 64615, J0585, J0586, J0587, and J0588, also require prior authorization. Panniculectomy, excision of excess skin and subcutaneous tissue, and related services, including codes 15830, 15847, and 15877, require prior authorization. Rhinoplasty and related services, including codes 20912, 21210, 30400, 30410, 30420, 30430, 30435, 30450, 30460, 30462, and 30465, require prior authorization. Vein ablation and related services, including codes 36473, 36474, 36475, 36476, 36478, 36479, 36482, and 36483, require prior authorization. Additional services requiring prior authorization include cervical fusion with disc removal, implanted spinal neurostimulators, and facet joint interventions, with various codes applicable for each service.