Does I82.891 require prior authorization?

No, I82.891 does not require prior authorization (high confidence). Code is covered without prior authorization.

`I82.891` — Chronic embolism and thrombosis of other specified veins

ICD-10-CM

No Prior Auth Required

Code is covered without prior authorization (high confidence)

The final report must include an impression or summary statement, a specific or differential diagnosis if appropriate, and recommendations for follow-up when clinically applicable.
All documentation must be maintained in the patient's medical record, be legible, include patient identification and dates of service, and be available to the contractor upon request.
The medical record must include the legible signature of the physician or non-physician practitioner responsible for and providing care.
The submitted medical record must support the selected ICD-10-CM code(s) and the submitted CPT/HCPCS code must accurately describe the service performed.

Doppler ultrasound (peripheral venous ultrasound) is the standard preoperative test to evaluate venous reflux in patients with chronic venous insufficiency.
CPT 93971 should be used to report either a limited bilateral duplex scan or a complete unilateral duplex scan for peripheral venous reflux evaluation.
Doppler ultrasound (CPT 93971) is the current standard for preoperative evaluation of venous reflux in patients with chronic venous insufficiency.
CPT 93971 may be reported to represent either a limited bilateral study or a complete unilateral study (use appropriate CPT coding to reflect study extent).
Routine foot care and debridement of nails are payable under Medicare Part B when performed in approved places of service (POS 11,12,13,14,19,20[11720/11721 only],21,22,24,31,32,33,49,51,52,53,54,55,56,61,62,65,71,99).
Debridement of mycotic (onychomycosis/dermatophytosis) nails is covered only when the claim lists a primary diagnosis of dermatophytosis of the nail plus either a secondary systemic condition or an ICD-10-CM code from the LCD 'ICD-10-CM Codes that Support Medical Necessity' indicating secondary infection or pain.

A57594 — Billing and Coding: Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies

J05

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

J05

A59914 — Billing and Coding: Pharmacogenomic Testing

J06

L33636 — Routine Foot Care and Debridement of Nails

J06

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