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 />
60212 Partial thyroid excision All<br />
60220 Partial removal of thyroid All<br />
60225 Partial removal of thyroid All<br />
60240 Removal of thyroid All<br />
60252 Removal of thyroid All<br />
60254 Extensive thyroid surgery All<br />
60260 Repeat thyroid surgery All<br />
60270 Removal of thyroid All<br />
60271 Removal of thyroid All<br />
60280 Remove thyroid duct lesion All<br />
60281 Remove thyroid duct lesion All<br />
60500 Explore parathyroid glands All<br />
60502 Re-explore parathyroids All<br />
60505 Explore parathyroid glands All<br />
60512 Autotransplant, parathyroid All<br />
60520 Removal of thymus gland All<br />
60521 Removal of thymus gland All<br />
60522 Removal of thymus gland All<br />
60540 Explore adrenal gland All<br />
60545 Explore adrenal gland All<br />
60600 Remove carotid body lesion All<br />
60605 Remove carotid body lesion All<br />
60650 Laparoscopy, adrenalectomy All<br />
60659 Unlisted laparoscopy procedure, endocrine<br />
system<br />
All<br />
60699 Endocrine surgery procedure All<br />
61304 Open skull for exploration All<br />
61305 Open skull for exploration All<br />
61312 Open skull for drainage All<br />
61313 Open skull for drainage All<br />
61314 Open skull for drainage All<br />
61315 Open skull for drainage All<br />
61320 Open skull for drainage All<br />
61321 Open skull for drainage All<br />
61322 Decompressive craniotomy All<br />
61323 Decompressive lobectomy All<br />
26994OH0812
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