CPT Codes Requiring Prior Authorization - Molina Healthcare
CPT Codes Requiring Prior Authorization - Molina Healthcare
CPT Codes Requiring Prior Authorization - Molina Healthcare
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Procedure<br />
Code<br />
<strong>CPT</strong> <strong>Codes</strong> <strong>Requiring</strong><br />
<strong>Prior</strong> <strong>Authorization</strong><br />
Service Description PA Required by POS<br />
47900 Suture bile duct injury All<br />
47999 Bile tract surgery procedure All<br />
48000 Drainage of abdomen All<br />
48001 Placement of drain, pancreas All<br />
48020 Removal of pancreatic stone All<br />
48100 Biopsy of pancreas All<br />
48105 Resect/debride pancreas All<br />
48120 Removal of pancreas lesion All<br />
48140 Partial removal of pancreas All<br />
48145 Partial removal of pancreas All<br />
48146 Pancreatectomy All<br />
48148 Removal of pancreatic duct All<br />
48150 Partial removal of pancreas All<br />
48152 Pancreatectomy All<br />
48153 Pancreatectomy All<br />
48154 Pancreatectomy All<br />
48155 Removal of pancreas All<br />
48160 Pancreas removal, transplant All<br />
48400 Injection, intraoperative All<br />
48500 Surgery of pancreas cyst All<br />
48510 Drain pancreatic pseudocyst All<br />
48511 Drainage of pancreas pseudocyst All<br />
48520 Fuse pancreas cyst and bowel All<br />
48540 Fuse pancreas cyst and bowel All<br />
48545 Pancreatorrhaphy All<br />
48547 Duodenal exclusion All<br />
48548 Fuse pancreas and bowel All<br />
48551 Prep donor pancreas All<br />
48552 Prep donor pancreas/venous All<br />
48554 Transplantallograft pancreas All<br />
48556 Removal, allograft pancreas All<br />
48999 Pancreas surgery procedure All<br />
49000 Exploration of abdomen All<br />
49002 Reopening of abdomen All<br />
49010 Exploration behind abdomen All<br />
26994OH0812
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