Prior Authorization - JE Part B
Jurisdiction E - Medicare Part B
California, Hawaii, Nevada, American Samoa, Guam, Northern Mariana Islands
California, Hawaii, Nevada, American Samoa, Guam, Northern Mariana Islands
Prior Authorization for Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) Services - View Ambulance services that require prior authorization, the authorization process, how to submit a prior authorization request, the documentation requirements and coverage for the 2 services: A0426 - Ambulance service, advanced life support, nonemergency transport, level 1 (ALS 1); and A0428 - Ambulance service, basic life support, nonemergency transport (BLS).
This Program applies to Part A PTAN OPD billing only. Please navigate to Noridian Medicare Part A JE > Medical Review > Prior Authorization to view outpatient department services that require prior authorization, the authorization process, how to submit a prior authorization request, and the documentation requirements and coverage for the 8 services: blepharoplasty, botulinum toxin injections, panniculectomy, rhinoplasty, vein ablation, spinal cord neurostimulator, cervical fusion and facet joint intervention for pain management.
For questions, please contact PartApriorauth@noridian.com
Determine which CPT/HCPCS codes require a Prior Authorization when performed in certain hospital OPD
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