Prior Authorization

Prior Authorization for Certain Hospital Outpatient Department (OPD) Services - View outpatient department services that require prior authorization, the authorization process, how to submit a prior authorization request, 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.


Last Updated Jan 10 , 2024

Prior Authorization Lookup Tool

Determine which CPT/HCPCS codes require a Prior Authorization


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OPD Prior Authorization UTN Calculator

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