Pre-Claim Review

Advance Determination of Medicare Coverage (ADMC) - View information about voluntary program that allows suppliers and beneficiaries to request prior approval of "eligible" items before item delivery

Required Prior Authorization Programs - CMS has implemented prior authorization (PA) as a condition of payment for specific HCPCS codes. View details

Last Updated Wed, 05 Jun 2019 13:20:47 +0000

Comparison Tool

Pre-Claim Review Comparison Tool

Prior Authorization Lookup Tool

Determine which HCPCS codes require a Prior Authorization


Enter HCPCS Code: