Does C9800 require prior authorization?

No, C9800 does not require prior authorization (high confidence). Code is covered without prior authorization.

`C9800`, Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and

HCPCS/CPT

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Chemical peels (known as epidermal peels or chemotherapy of the skin) are consideredmedically necessaryfor active acne.
Medium or deep chemical peels, referred to as dermal peels are consideredmedically necessarywhen there is documented evidence of 10 or more actinic keratoses or other pre-malignant skin lesions that have failed topical retinoid treatment, topical chemotherapeutic agentsandcryotherapy.
Treatment of cutaneous hemangioma, port wine birthmark, or other vascular lesions is consideredmedically necessarywhen there is documented evidence of significant functional impairment (for example, bleeding or a lesion which interferes with vision) and the procedure can be reasonably expected to improve the functional impairment.
Treatment of cutaneous hemangioma, port wine birthmark, or other vascular lesions using lasers or other methods to restore appearance is consideredreconstructivewhen intended to address a significant variation from normal related to a congenital defect.
Dermabrasion (that is, abrasion, salabrasion) is consideredmedically necessaryfor the treatment of actinic keratoses, other pre-malignant skin lesions and localized non-melanoma malignant skin lesions. Examples include, but are not limited to, basal cell carcinoma and carcinoma in-situ.
Permanent removal of hair is consideredmedically necessaryfor recurrent infected cyst, hair follicle infections, or after surgical treatment of pilonidal sinus disease.

ANTHEM-MP-A050278, Last Review Date

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