Does T82.828A require prior authorization?

No, T82.828A does not require prior authorization (high confidence). Code is covered without prior authorization.

`T82.828A` — Fibrosis due to vascular prosthetic devices, implants and grafts, initial encounter

ICD-10-CM

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Claims must be submitted with an ICD-10-CM code that represents the reason for the procedure, billed to the highest level of specificity and linked to the appropriate procedure code.
All documentation must be maintained in the patient's medical record, be legible, include patient identification and dates of service, and include the legible signature of the responsible physician or non-physician practitioner.
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.
Medical record documentation should list the type and length of conservative treatment attempted, as applicable per LCD L37893.

Endovenous stenting is covered when performed to treat severely symptomatic venous obstructions in accordance with LCD L37893.
Endovenous stenting is covered when used to treat severely symptomatic venous obstructions in accordance with LCD L38231.
MRA is covered to evaluate blood flow in the internal carotid vessels of the head and neck.
MRA of peripheral arteries of the lower extremities is covered to determine the presence and extent of peripheral vascular disease and may substitute for conventional angiography (CA).
MRA is covered for pre-operative evaluation of patients undergoing elective abdominal aortic aneurysm (AAA) repair when it is comparable to CA for determining extent of AAA and evaluating aortoiliac occlusive disease and renal artery pathology necessary for surgical planning.
MRA of the renal arteries and aortoiliac arteries (in the absence of AAA or aortic dissection) is covered when MRA is expected to avoid CA, physician history/physical and standard assessments are insufficient, and obtaining MRA has a high probability of positively affecting patient management.

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

J05

L35755 — Non-Invasive Abdominal / Visceral Vascular Studies

J05

L35998 — Non-Coronary Vascular Stents

J05

A57590 — Billing and Coding: Non-Coronary Vascular Stents

J05

A57591

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