Codes That Require Prior Authorization. View the complete list of codes requiring prior authorization. Medical Policies. You can review Medicare Advantage's ...

Always check benefits through the Voice Response Unit (VRU) or My Insurance ManagerSM to determine if prior authorization is required. Providers · Radiology · Musculoskeletal Care · My Insurance Manager

Enter a CPT/HCPCS code in the space below. · Click “Submit.” · The tool will tell you if that service needs prior authorization.

CPT Code CPT Code Description. 19120. REMOVAL OF BREAST LESION. 19125. EXCISION BREAST LESION. 19126. EXCISION ADDL BREAST LESION.

Enter one CPT code at a time into the search. · This tool is for outpatient services only. · Inpatient services and nonparticipating providers always require PA.