Does E75.00 require prior authorization?

No, E75.00 does not require prior authorization (high confidence). Covered without prior authorization.

`E75.00`, GM2 gangliosidosis, unspecified

ICD-10-CM

No Prior Auth Required

Covered without prior authorization (high confidence)

This article provides billing/coding guidelines that complement Local Coverage Determination L34417 for CT of the head; consult LCD L34417 for specific coverage, coding, and documentation requirements.
Document evaluations and re-evaluations and bill re-evaluations using the evaluation CPT code (per policy guidance).
Document selection/prescription and programming/modification of speech-generating devices and use CPT 92607/92608 for selection/prescription and CPT 92609 for programming/modification on claims.
Claims and coding must follow the complementary Local Coverage Determination (LCD L34429) guidelines referenced in this policy.

Coverage for programming and modification of speech-generating devices using CPT 92609.
Coverage for individual outpatient treatment of speech, language, voice, communication, and/or auditory processing disorders using CPT 92507.
Coverage for group outpatient treatment (2 or more individuals) of speech, language, voice, communication, and/or auditory processing disorders using CPT 92508.
Coverage for selection and prescription of speech-generating devices (SGDs) using CPT 92607 and 92608.
Peri-implant mucositis (p-iM)
Aggressive periodontitis (as adjunct to scaling and root planing [SRP])

AMBETTER-CP.MP.99, Wheelchair Seating

AETNA-CPB-0158, Neuropsychological and Psychological Testing

AETNA-CPB-0353, Transcranial Doppler Ultrasonography

AETNA-CPB-0363, Cold Laser and High-Power Laser Therapies

AETNA-CPB-0703, Thermal Perfusion Probe for Monitoring Regional Cerebral Blood Flow

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