Does D9914 require prior authorization?

No, D9914 does not require prior authorization (high confidence). Code is covered without prior authorization.

What is the Medicare reimbursement rate for D9914?

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

HCPCS/CPT

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

Treatment of a disease or congenital defect (for example, for breast contouring following breast reconstruction procedures).
Autologous fat grafting is consideredmedically necessarywhen both of the following criteria have been met:
There is documented evidence of significant functional impairment:and
The procedure can be reasonably expected to improve the functional impairment.
Autologous fat grafting is consideredreconstructivewhen there is a significant variation from normal, related toanyof the following:
Accidental injury;or

ANTHEM-CG-SURG-123 — CG-SURG-123 Autologous Fat Grafting and Injectable Soft Tissue Fillers

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