S0949
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Key Coverage Criteria
- Preoperative testing is consideredmedically necessarywhen ALL the following criteria are met (A, B, and C):
- Preoperative testing may include any, or all, of the following when done as part of a preoperative evaluation before low risk invasive procedures or non-cardiac surgeries:Comprehensive blood counts (CBC, WBC, PT/PTT, metabolic panel);Urinalysis;Chest X-rays;Resting ECG;Resting echocardiogram;Pre-procedure consultations.and
- Comprehensive blood counts (CBC, WBC, PT/PTT, metabolic panel);
- Urinalysis;
- Chest X-rays;
- Resting ECG;
1 Active Policy
ANTHEM-CG-MED-61 — CG-MED-61 Preoperative Testing for Low Risk Invasive Procedures and Surgeries
Related Codes
Have a follow-up question?
Ask Verity about documentation requirements, denial risks, or coverage in your state.