Does 93050 require prior authorization?

No, 93050 does not require prior authorization (high confidence). Code is covered without prior authorization.

What is the Medicare reimbursement rate for 93050?

Medicare facility rate: $17.03. Non-facility rate: $17.03. Work RVU: 0.17.

HCPCS/CPT

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Work RVU

0.17

Facility

$17.03

Non-Facility

$17.03

No specific documentation requirements (e.g., mandatory clinical findings, test results, or prior authorization criteria) are specified in this policy for the above-listed tests; coverage determination should reference the member-specific benefit plan document.
Advanced lipoprotein analysis must be performed in accordance with Clinical Laboratory Improvement Amendments (CLIA) quality standards (as noted in the FDA/Regulatory section).
Providers should follow member-specific benefit plan terms and applicable federal/state mandates; UnitedHealthcare instructs to check the member specific benefit plan document because plan terms govern coverage decisions.
Where applicable, FDA device clearances (e.g., EndoPAT 2000, SphygmoCor systems) are discussed for informational purposes only and do not constitute coverage or change documentation requirements; the policy states the EndoPAT 2000 is not intended as a screening test in the general patient population.

93280 dual lead pacemaker system
93281 multiple lead pacemaker system
Z99.2 Dependence on renal dialysis
Other CPT codes related to the CPB (listed as related items): 90935 - 90937 Hemodialysis
Aetna considers self-contained pacemaker monitors medically necessary for members with cardiac pacemakers.
Audible/visible signal pacemaker monitors -- these devices produce an audible and visible signal that indicates the pacemaker rate.

UMR-POL-UMR-cardiovascular-disease-risk-tests — Cardiovascular Disease Risk Tests

SUREST-POL-SUREST-cardiovascular-disease-risk-tests — Cardiovascular Disease Risk Tests

UHC-POL-cardiovascular-disease-risk-tests — Cardiovascular Disease Risk Tests

AETNA-CPB-0548 — Cardiovascular Monitoring Equipment for Home Use: Pulse, Blood Pressure, Telemonitors, and Pacemaker Monitors

Ask Verity about documentation requirements, denial risks, or coverage in your state.