Does I47.10 require prior authorization?

No, I47.10 does not require prior authorization (high confidence). Code is covered without prior authorization.

`I47.10` — Supraventricular tachycardia, unspecified

ICD-10-CM

No Prior Auth Required

Code is covered without prior authorization (high confidence)

For services that require a referring/ordering physician, the referring/ordering physician's name and NPI must be reported on the claim.
The claim must include a valid ICD-10-CM diagnosis code that best describes the patient's condition for which the urine drug test was performed.
For diagnostic urine drug tests, report the test result if known; if the result is not known, report the symptoms that prompted the performance of the test.
This billing and coding guidance complements Local Coverage Determination L35724 and providers should follow LCD L35724 in conjunction with NCCI/OPPS rules when preparing claims.

Implantation of a single‑chamber or dual‑chamber permanent cardiac pacemaker is covered for documented non‑reversible symptomatic bradycardia due to sinus node dysfunction.
Implantation of a single‑chamber or dual‑chamber permanent cardiac pacemaker is covered for documented non‑reversible symptomatic bradycardia due to second‑degree and/or third‑degree atrioventricular (AV) block.
Symptoms attributable to bradycardia (heart rate <60 bpm) such as syncope, seizures, congestive heart failure, dizziness, or confusion qualify as symptomatic bradycardia for coverage purposes.
Additional contractor‑allowed diagnoses (Group II) are covered when the practitioner attests (use modifier KX) that documentation is on file verifying symptomatic arrhythmia or high potential for progression; examples include symptomatic/selected bundle branch/fascicular blocks, certain supraventricular tachycardias when pacing controls SVT, atrial fibrillation/flutter with symptomatic bradycardia due to therapy, and hypersensitive carotid sinus syndrome with cardioinhibitory response.
Implantation of a single-chamber or dual-chamber permanent cardiac pacemaker is covered for documented non-reversible symptomatic bradycardia due to sinus node dysfunction.
Implantation of a single-chamber or dual-chamber permanent cardiac pacemaker is covered for documented non-reversible symptomatic bradycardia due to second-degree and/or third-degree atrioventricular (AV) block.

A56391 — Billing and Coding: Implantable Automatic Defibrillators

J05

A54958 — Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemaker

J05

L34636 — Electrocardiographic (EKG or ECG) Monitoring (Holter or Real-Time Monitoring)

J05

L34645 — Urine Drug Testing

J05

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