Does H49.9 require prior authorization?

No, H49.9 does not require prior authorization (high confidence). Covered without prior authorization.

`H49.9`, Unspecified paralytic strabismus

ICD-10-CM

No Prior Auth Required

Covered without prior authorization (high confidence)

Maintain complete, legible medical records for the patient with patient identification (e.g., full name, dates of service) available to the contractor upon request.
The documentation must include the legible signature of the physician or non-physician practitioner responsible for and providing 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.
The operating physician must retain history and physical and notes documenting evaluation and management of a Medicare-covered condition/diagnosis, including relevant clinical signs/symptoms or abnormal diagnostic test results.

Bill HCPCS code G0278 for femoral or iliac angiography performed at the time of coronary angiography.
Aortography and peripheral angiography are covered when reasonable and necessary per Local Coverage Determination L36767 and when documentation supports the selected ICD-10-CM diagnosis and medical necessity.
Visual field examinations are covered when reasonable and necessary as defined by Local Coverage Determination (LCD) L33766.
NC-stat testing (CPT 95905) is allowed when the beneficiary has a high pre-test or prior probability of Carpal Tunnel Syndrome (CTS), limited to one service per arm.
Use CPT 95870 for sampling muscles other than the paraspinals associated with the extremities that have been tested.
Initial onabotulinumtoxinA dosing for blepharospasm is 1.25–2.5 Units into each of three sites per affected eye.

CGS-J15-L39857, Botulinum Toxin Injections

J15

CGS-J15-L34394, Visual Fields Testing

J15

CGS-J15-L39856, Botulinum Toxin Injections

J15

CGS-J18-L39857, Botulinum Toxin Injections

J18

CGS-J18-L39856, Botulinum Toxin Injections

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