Does I63.239 require prior authorization?

No, I63.239 does not require prior authorization (high confidence). Code is covered without prior authorization.

`I63.239`, Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid artery

ICD-10-CM

No Prior Auth Required

Code is 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 must be legible and include patient identification and dates of service.
The medical record must include the legible signature of the physician or non-physician practitioner responsible for and providing care to the patient.
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.

Continuous intraoperative neurophysiologic monitoring provided one-on-one in the operating room (CPT 95940) is covered when it supports the covered indications in LCD L35003.
Report continuous intraoperative neurophysiologic monitoring in the operating room (95940) in addition to monitoring services provided from outside the operating room (G0453); coverage includes interpretation of baseline studies and removal of electrodes at the end of the procedure when supporting the LCD indications.
Reimbursement may be made for covered intraoperative monitoring when performed at POS 19, POS 21, POS 22, or POS 24.
MRA is covered to evaluate blood flow in the internal carotid vessels of the head and neck.
MRA of peripheral arteries of the lower extremities is covered to determine the presence and extent of peripheral vascular disease and may substitute for conventional angiography (CA).
MRA is covered for pre-operative evaluation of patients undergoing elective abdominal aortic aneurysm (AAA) repair when it is comparable to CA for determining extent of AAA and evaluating aortoiliac occlusive disease and renal artery pathology necessary for surgical planning.

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

J15

CGS-J18-L40244, Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices

J18

A56747, Billing and Coding: Magnetic Resonance Angiography (MRA)

NGS-J6-L33633, Magnetic Resonance Angiography (MRA)

A57670, Billing and Coding: Non-invasive Extracranial Arterial Studies

FIRST_COAST-L33695, Non-invasive Extracranial Arterial Studies

FIRST_COAST-L33766, Visual Field Examination

FIRST_COAST-L34520, Psychological and Neuropsychological Tests

A57637, Billing and Coding: Visual Field Examination

A57780, Billing and Coding: Psychological and Neuropsychological Tests

NOVITAS-JH-L35003, Intraoperative Neurophysiological Testing

NOVITAS-JH-L35049, Monitored Anesthesia Care

NGS-JK-L33633, Magnetic Resonance Angiography (MRA)

NOVITAS-JL-L35049, Monitored Anesthesia Care

A56722, Billing and Coding: Intraoperative Neurophysiological Testing

NOVITAS-JL-L35003, Intraoperative Neurophysiological Testing

A57361, Billing and Coding: Monitored Anesthesia Care

A60279, Billing and Coding: Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices

ANTHEM-CG-SURG-76, Carotid, Vertebral and Intracranial Artery Stent Placement with or without Angioplasty