Prior Authorization - JF Part A
Prior Authorization Mailbox Retirement
Effective November 30, 2026, the PartAPriorAuth@Noridian.com mailbox will be discontinued. Providers should begin using Secure Messaging through the Noridian Medicare Portal for prior authorization inquiries whenever possible. Assistance will continue to be available through the Provider Contact Center. If your organization uses this mailbox, please review internal processes and prepare for this transition.
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.
Part A and B Prior Authorization Demonstration for Wasteful and Inappropriate Service Reduction (WISeR) Model - On January 15, 2026 in the states of Arizona and Washington, a CMS review demonstration program will begin. View the fourteen services with a streamlined review of medical necessity for select items and services, the authorization process and coverage requirements for each of the services.
Resources
OPD Prior Authorization Coding
64612, 64615
Procedure codes must be paired with the botulinum product HCPCS code: J0585, J0586, J0587, J0588
Prior Authorization Lookup Tool
Enter CPT/HCPCS Code:
Prior Authorization UTN Calculator
A Unique Tracking Number (UTN) is valid for 120 calendar days, counting the decision date as day one.
Note: Enter dates as (mm/dd/yyyy)
