Does I63.132 require prior authorization?

No, I63.132 does not require prior authorization (high confidence). Covered without prior authorization.

`I63.132`, Cerebral infarction due to embolism of left carotid artery

ICD-10-CM

No Prior Auth Required

Covered without prior authorization (high confidence)

A formal physician report documenting conduct and evaluation of cardiac catheterization procedures is required for reimbursement.
Swan-Ganz catheterization results may be recorded in progress notes rather than a formal report when performed for ongoing monitoring.
Extra-cardiac angiographic services performed during cardiac catheterization must be specifically requested by the treating physician and documented in the patient's medical record with anticipated therapeutic implications.
Reasons for delaying a indicated interventional procedure (when diagnostic catheterization and intervention are separated) must be documented in the medical record.

Right heart catheterization is indicated for endocarditis requiring valvular surgical repair.
Right heart catheterization is indicated for suspected rejection of a transplanted heart.
Right heart catheterization is indicated for suspected pericardial tamponade or constriction.
Right heart catheterization is indicated to evaluate valvular heart disease.
Right heart catheterization is indicated to evaluate congestive heart failure.
Right heart catheterization is indicated to evaluate congenital heart disease.

CGS-J15-L34394, Visual Fields Testing

J15

CGS-J15-L34045, Non-Invasive Vascular Studies

J15

CGS-J15-L40244, Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices

J15

CGS-J15-L38694, Computed Tomography Cerebral Perfusion Analysis (CTP)

J15

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