Does I82.211 require prior authorization?

No, I82.211 does not require prior authorization (high confidence). Covered without prior authorization.

`I82.211`, Chronic embolism and thrombosis of superior vena cava

ICD-10-CM

No Prior Auth Required

Covered without prior authorization (high confidence)

Claims must be submitted with an ICD-10-CM code that represents the reason for the procedure, billed to the highest level of specificity and linked to the appropriate procedure code.
All documentation must be maintained in the patient's medical record, be legible, include patient identification and dates of service, and include the legible signature of the responsible physician or non-physician practitioner.
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.
Medical record documentation should list the type and length of conservative treatment attempted, as applicable per LCD L37893.

Endovenous stenting is covered when performed to treat severely symptomatic venous obstructions in accordance with LCD L37893.
Coverage determinations for biomarker testing follow Local Coverage Determination L35062 and services are covered when reasonable and necessary per that LCD.
Endovenous stenting is covered when used to treat severely symptomatic venous obstructions in accordance with LCD L38231.
Non‑invasive abdominal/visceral vascular studies are covered when the test results will be used to directly inform or change the patient's clinical management.
A preoperative non‑invasive abdominal/visceral vascular study is covered as reasonable and necessary for patients undergoing bypass surgery (one preoperative scan considered reasonable).
Medically necessary follow‑up non‑invasive abdominal/visceral vascular studies after angioplasty are covered as indicated by the vascular distribution treated.

WPS-J5-L35755, Non-Invasive Abdominal / Visceral Vascular Studies

A57594, Billing and Coding: Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies

A57591, Billing and Coding: Non-Invasive Abdominal / Visceral Vascular Studies

WPS-J5-L35751, Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies

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