Does E83.09 require prior authorization?

No, E83.09 does not require prior authorization (high confidence). Code is covered without prior authorization.

`E83.09` — Other disorders of copper metabolism

ICD-10-CM

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Verify and document compliance with applicable NCCI edits and OPPS packaging rules prior to billing.
Include a valid ICD-10-CM diagnosis code on the claim that best describes the patient's condition for which the heavy metal test was performed.
For diagnostic heavy metal tests, report the test result on the claim if known; if the result is not known, report the symptoms that prompted the test.
When required, report the referring/ordering physician's name and NPI on the claim.

Coverage for programming and modification of speech-generating devices using CPT 92609.
Coverage for individual outpatient treatment of speech, language, voice, communication, and/or auditory processing disorders using CPT 92507.
Coverage for group outpatient treatment (2 or more individuals) of speech, language, voice, communication, and/or auditory processing disorders using CPT 92508.
Coverage for selection and prescription of speech-generating devices (SGDs) using CPT 92607 and 92608.
Outpatient speech-language pathology (SLP) services are covered when necessary for diagnosis or treatment of speech, language, cognitive-communication, voice, auditory processing, and swallowing disorders that result in communication disabilities.
SLP services are covered for acquired etiologies including stroke, brain tumor, traumatic brain injury, anoxic or toxic encephalopathy, nondegenerative and degenerative neurologic diseases including dementias.

A56767 — Billing and Coding: Heavy Metal Testing

J06

L35074 — Heavy Metal Testing

J06

ANTHEM-CG-MED-90 — CG-MED-90 Chelation Therapy

ANTHEM-CG-LAB-26 — CG-LAB-26 Outpatient Alpha-Fetoprotein Testing

A56868 — Billing and Coding: Outpatient Speech Language Pathology

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