Does D14.30 require prior authorization?

No, D14.30 does not require prior authorization (high confidence). Covered without prior authorization.

`D14.30`, Benign neoplasm of unspecified bronchus and lung

ICD-10-CM

No Prior Auth Required

Covered without prior authorization (high confidence)

Maintain all documentation in the patient's medical record and make it available to the contractor upon request; every page must be legible and include patient identifiers (complete name, dates of service).
Medical record 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 selected ICD-10-CM code(s) and the submitted CPT/HCPCS code must accurately describe the service performed.
Documentation should state whether the block was performed for diagnostic or therapeutic purposes.

Peripheral nerve blocks are covered when they meet the reasonable and necessary requirements specified in LCD L33933.
Eye tumors (e.g., choroidal melanoma; small retinoblastomas (i.e., less than 15 mm in diameter and less than 8 mm in thickness)
Aetna considers brachytherapy (also known as interstitial radiation, intracavitary radiation, internal radiation therapy) medically necessary for the following conditions:
Breast cancer (such as the MammoSite Radiation Therapy System (Proxima Therapeutics, Alpharetta, GA))
Esophageal cancer
Eye tumors (e.g., choroidal melanoma; small retinoblastomas (i.e., less than 15 mm in diameter and less than 8 mm in thickness))

FIRST_COAST-L33933, Peripheral Nerve Blocks

AMBETTER-CP.MP.242, Pulmonary Function Testing

AETNA-CPB-0352, Tumor Markers

AETNA-CPB-0371, Brachytherapy

AETNA-CPB-0376, Single Photon Emission Computed Tomography (SPECT)

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