Does H40.249 require prior authorization?

No, H40.249 does not require prior authorization (high confidence). Covered without prior authorization.

`H40.249`, Residual stage of angle-closure glaucoma, unspecified eye

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 such as 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 to the patient.
The submitted medical record must support the use of the selected ICD-10-CM code(s).

Visual field examinations are covered when reasonable and necessary as defined by Local Coverage Determination (LCD) L33766.
Laser adjuncts / debridement for peri-implantitis and periodontal conditions
Er:YAG laser use for reductions in post-op pain/edema (e.g., third molar removal) and other oral/jaw conditions
Physical and laser therapies for genitourinary syndrome of menopause / vulvovaginal atrophy
Laser approaches to prevent posterior capsule opacification
Minimally invasive, non-ablative Er:YAG laser treatment of stress urinary incontinence in women

FIRST_COAST-L33766, Visual Field Examination

A57637, Billing and Coding: Visual Field Examination

ANTHEM-CG-SURG-100, Laser Trabeculoplasty and Laser Peripheral Iridotomy

AETNA-CPB-0354, YAG Laser in Ophthalmology and Other Selected Indications

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