Does I82.402 require prior authorization?

No, I82.402 does not require prior authorization (high confidence). Code is covered without prior authorization.

`I82.402` — Acute embolism and thrombosis of unspecified deep veins of left lower extremity

ICD-10-CM

No Prior Auth Required

Code is covered without prior authorization (high confidence)

All documentation must be maintained in the patient's medical record and made available to the contractor upon request.
Every page of the medical record must be legible and include appropriate patient identification information such as complete name and dates of service.
The record must include the legible signature of the physician or non-physician practitioner responsible for and providing the patient's care.
The submitted medical record must support the use of the selected ICD-10-CM code(s) and the submitted CPT/HCPCS code must accurately describe the service performed.

Coverage determinations for biomarker testing follow Local Coverage Determination L35062 and services are covered when reasonable and necessary per that LCD.
Serum homocysteine testing is covered for evaluation of suspected vitamin B12 (cobalamin) deficiency.
Serum homocysteine testing is covered for risk stratification for the conditions listed in the ICD-10-CM Codes that Support Medical Necessity in LCD L34419.
Serum homocysteine testing is covered for evaluation of suspected folate (vitamin B9) deficiency.
Non-invasive vascular studies (duplex scan, physiologic studies, plethysmography, transcranial Doppler) are covered when ordered by the treating or consulting practitioner and medically necessary to evaluate, diagnose, or manage vascular disease.
Initial autogenous access vessel mapping should be billed with HCPCS codes 93985 or 93986 and is covered when medically necessary for surgical planning.

L35751 — Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies

J05

L40273 — MolDX: Genetic Testing for Hereditary Thrombophilia

J05

L35998 — Non-Coronary Vascular Stents

J05

A60307 — Billing and Coding: MolDX: Genetic Testing for Hereditary Thrombophilia

J05

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