Does I70.408 require prior authorization?

No, I70.408 does not require prior authorization (high confidence). Covered without prior authorization.

`I70.408`, Unspecified atherosclerosis of autologous vein bypass graft(s) of the extremities, other extremity

ICD-10-CM

No Prior Auth Required

Covered without prior authorization (high confidence)

The patient's medical record must fully document medical necessity for the cardiac catheterization and support the diagnosis and procedures billed.
Each claim must include ICD-10-CM diagnosis code(s) that accurately reflect the patient's condition and reason for the procedure and these codes must be linked to the CPT procedure codes on the claim.
When a referring/ordering physician is required, the name and NPI of the referring/ordering physician must be reported on the claim; for extra-cardiac angiographic services the treating physician's name and NPI must be submitted in items 17/17a of CMS-1500 or electronic equivalent.

Medicare Part B covers the professional component of cardiac catheterization and coronary angiography when performed in hospital inpatient and outpatient facility settings.
Diagnostic cardiac catheterization performed in an office setting (where permitted) is covered under Medicare Part B for both professional and technical components.
Global and technical component procedures are covered under Part B when performed under personal physician supervision in an IDTF, free-standing facility, physician office, or physician-directed clinic (physician present in room for entire procedure).
Claims for dialysis access maintenance billed to Medicare Part A or Part B should be submitted when coding conforms to the applicable Local Coverage Determination L34062 and applicable NCCI and OPPS coding/packaging edits.
For services that require a referring or ordering physician, claims must include the referring/ordering physician's name and NPI to be eligible for payment.
Preoperative cardiac stress testing with radionuclide imaging for asymptomatic patients deemed at moderate risk is covered only if the medical record documents at least one of the following: diabetes mellitus with complications; peripheral vascular disease; aortic aneurysm; or cerebrovascular disease.

CGS-J15-L34062, Dialysis Access Maintenance

J15

CGS-J18-L34062, Dialysis Access Maintenance

J18

A57593, Billing and Coding: Non-Invasive Peripheral Arterial Vascular Studies

WPS-J5-L35761, Non-Invasive Peripheral Arterial Vascular Studies

NGS-J6-L33557, Cardiac Catheterization and Coronary Angiography

A52850, Billing and Coding: Cardiac Catheterization and Coronary Angiography

WPS-J8-L35761, Non-Invasive Peripheral Arterial Vascular Studies

FIRST_COAST-L36767, Aortography and peripheral angiography

A57056, Billing and Coding: Aortography and Peripheral Angiography

NGS-JK-L33557, Cardiac Catheterization and Coronary Angiography

A60247, Billing and Coding: Endovascular Management for Peripheral Arterial Disease of the Upper and Lower Extremities

A56460, Billing and Coding: Dialysis Access Maintenance

A56476, Billing and Coding: Cardiac Radionuclide Imaging

A56675, Billing and Coding: Homocysteine Level, Serum

A56680, Billing and Coding: Routine Foot Care

A56775, Billing and Coding: Magnetic Resonance Angiography