Does S35.512S require prior authorization?

No, S35.512S does not require prior authorization (high confidence). Code is covered without prior authorization.

`S35.512S` — Injury of left iliac artery, sequela

ICD-10-CM

No Prior Auth Required

Code is covered without prior authorization (high confidence)

This billing and coding article provides guidelines that complement Local Coverage Determination L34415 for CT of the abdomen and pelvis; consult LCD L34415 for specific coverage indications, limitations, and documentation requirements.
All documentation must be maintained in the patient's medical record and made available to the contractor upon request.
Every page of the record must be legible and include appropriate patient identification information such as complete name and dates of service.
The documentation must include the legible signature of the physician or non-physician practitioner responsible for and providing the care.

Diagnostic abdominal aortography and renal angiography are covered when they meet the reasonable and necessary clinical requirements specified in LCD L35092.
When femoral or iliac angiography is performed at the time of coronary angiography, bill using HCPCS code G0278.
Non-invasive vascular diagnostic tests are covered when ordered by the treating practitioner or a consulting physician who will use the results to manage the beneficiary's specific medical problem.
A documented referral/order must be on record for each individual non-invasive vascular study performed for coverage to apply.
Cerebrovascular arterial duplex follow-up is covered annually for stenosis 20–49% (diameter reduction).
Cerebrovascular arterial duplex follow-up is covered every six months for stenosis 50–79% (diameter reduction).

L33633 — Magnetic Resonance Angiography (MRA)

J06

L33627 — Non-Invasive Vascular Studies

J06

A56758 — Billing and Coding: Non-Invasive Vascular Studies

J06

A56747 — Billing and Coding: Magnetic Resonance Angiography (MRA)

J06

L36767 — Aortography and peripheral angiography

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