Does B95.8 require prior authorization?

No, B95.8 does not require prior authorization (high confidence). Covered without prior authorization.

`B95.8`, Unspecified staphylococcus as the cause of diseases classified elsewhere

ICD-10-CM

No Prior Auth Required

Covered without prior authorization (high confidence)

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, including 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.
The submitted medical record must support the use of the selected ICD-10-CM code(s).

CPT code 93355 is used to report transesophageal echocardiography (TEE) performed during transcatheter intracardiac therapies.
When contrast is used for a complete TEE procedure (probe placement, image acquisition, interpretation and report), bill CPT code 93312 (HCPCS C8925 for OPPS billing).
For congenital anomalies, use CPT code 93315 (HCPCS C8926 for OPPS billing) for the complete contrast TEE procedure.
Hospitals should bill echocardiograms without contrast using the applicable Level 1 CPT code descriptors and guidelines.
Coverage of transesophageal echocardiogram (TEE) is determined by the reasonable and necessary clinical criteria in Local Coverage Determination L33756; refer to LCD L33756 for specific covered indications.
Acanthamoeba in corneal ulceration

FIRST_COAST-L33756, Transesophageal Echocardiogram

A57179, Billing and Coding: Transesophageal Echocardiogram

NOVITAS-JH-L35016, Transesophageal Echocardiography (TEE)

NOVITAS-JL-L35016, Transesophageal Echocardiography (TEE)

A56505

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