86849
HCPCS/CPT
Prior Authorization
No Prior Auth Required
No active coverage policies found for this code (low confidence)
Medicare Pricing
Work RVU
0.00
Facility
N/A
Non-Facility
N/A
Documentation Required
- Coverage determinations in each specific instance require consideration of: 1) the terms of the applicable benefit plan document in effect on the date of service; 2) any applicable laws/regulations; 3) any relevant collateral source materials including Coverage Policies; and 4) the specific facts of the particular situation.
- Medical directors are expected to exercise clinical judgment where appropriate and have discretion in making individual coverage determinations.
- When billing, providers must use the most appropriate codes as of the effective date of the submission.
- Claims submitted for services that are not accompanied by covered code(s) under the applicable Coverage Policy will be denied as not covered.
Key Coverage Criteria
- Coverage for complementary and alternative testing and therapies varies across plans. Please refer to the customer's benefit plan document for coverage details.
- For information on Acupuncture and Biofeedback, refer to the applicable Cigna Coverage Policies.
- None explicitly stated in this document as covered. (No section labelled 'Covered Indications' or phrases such as 'Medicare covers...' were found in the provided text.)
20 Active Policies
ANTHEM-LAB.00027 — LAB.00027 Selected Blood, Serum and Cellular Allergy and Toxicity Tests
ANTHEM-LAB.00003 — LAB.00003 In Vitro Chemosensitivity Assays and In Vitro Chemoresistance Assays
BCBSIL-SUR703.029 — Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia (CLL) and Small Lymphocytic Lymphoma (SLL)
BCBSMT-SUR703.029 — Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia (CLL) and Small Lymphocytic Lymphoma (SLL)
Related Codes
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