Does R06.82 require prior authorization?

No, R06.82 does not require prior authorization (high confidence). Code is covered without prior authorization.

`R06.82` — Tachypnea, not elsewhere classified

ICD-10-CM

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Refer to Local Coverage Determination L33422 for the clinical indications, coverage rules, and coding requirements for Brain Natriuretic Peptide (BNP) level testing; this article supplements that LCD with billing/coding guidance.
This billing/coding guideline complements LCD L33459 (Computerized Axial Tomography (CT), Thorax); follow the LCD for clinical coverage and any required documentation or prior authorization rules.
This article provides billing, coding, and guideline information that complements Local Coverage Determination (LCD) L34410 for B-type Natriuretic Peptide (BNP) testing; refer to LCD L34410 for clinical coverage criteria.
Claims must follow the complementary Local Coverage Determination (LCD L34430) and, when CPT 97000–97799 are used by PT/OT, must include documentation that the services meet the coverage and documentation requirements for physical or occupational therapy.

Therapeutic procedures whose principal aim is to treat a respiratory impairment must be billed using HCPCS codes G0237, G0238, or G0239.
Transthoracic echocardiography (TTE) is covered when the patient's medical record documents medical necessity consistent with the LCD indications for TTE.
Contrast (contrast-enhanced) echocardiography is covered when conventional echocardiographic studies were inconclusive and contrast enhancement is needed to complete diagnostic evaluation.
Repeat echocardiographic studies are covered to monitor changes in cardiac structure or function when there is a change in clinical status or when disease progression is suspected.
BNP testing is covered when medical necessity is documented in the patient's record in accordance with the related Local Coverage Determination (LCD).
BNP testing performed as a diagnostic test should have the test result reported on the claim if known; if result is not known, report the symptoms that prompted the test.

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

J05

A57476 — Billing and Coding: Electrocardiographic (EKG or ECG) Monitoring (Holter or Real-Time Monitoring)

J05

A56826 — Billing and Coding: B-type Natriuretic Peptide (BNP) Testing

J06

A56781 — Billing and Coding: Transthoracic Echocardiography (TTE)

J06

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