Does Z79.83 require prior authorization?

No, Z79.83 does not require prior authorization (high confidence). Code is covered without prior authorization.

`Z79.83` — Long term (current) use of bisphosphonates

ICD-10-CM

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Include relevant medical history in the medical record that supports the need for the visual field test.
The medical record must include the ordering provider’s assessment related to the patient’s complaint for the visit when visual field testing is ordered.
Include results of pertinent tests and procedures in the medical record; for diagnostic tests, include the test result if known or the symptom prompting the test.
A signed and dated office visit record or operative report must be in the medical record for services ordered or rendered to Medicare beneficiaries.

Visual field testing is covered when billed to the Part A or Part B MAC with a valid ICD-10-CM diagnosis code that best describes the patient’s condition and when the service is reasonable and necessary.
For diagnostic visual field tests, report the test result on the claim if known; if the result is not known, report the signs or symptoms that prompted the test.
If the service requires a referring/ordering physician, include the ordering/referring physician’s name and NPI on the claim.
Ophthalmic biometry using CPT 76519 (A-scan) or CPT 92136 (optical coherence biometry) is payable under Medicare Part B when performed for intraocular lens (IOL) power calculation.
The global service (76519 or 92136 global) is payable in the office (place of service 11) and independent clinic (49).
The technical component (TC) of CPT 76519 or 92136 is payable in the office (11), independent clinic (49), federally qualified health center (50), and rural health clinic (72).

A57736 — Billing and Coding: Vitamin D Assay Testing

J06

L37535 — Vitamin D Assay Testing

J06

A56799 — Billing and Coding: Visual Fields Testing

A57070 — Billing and Coding: Ophthalmic Biometry for Intraocular Lens Power Calculation

A57132 — Billing and Coding: Bone Mass Measurement

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