Does I82.290 require prior authorization?

No, I82.290 does not require prior authorization (high confidence). Covered without prior authorization.

`I82.290`, Acute embolism and thrombosis of other thoracic veins

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.
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.
Non‑invasive abdominal/visceral vascular studies performed in the inpatient hospital (place of service 21) or emergency room (place of service 23) are permitted and are not subject to the routine once‑per‑year outpatient limitation.

CGS-J15-L40258, MolDX: Genetic Testing for Hereditary Thrombophilia

J15

CGS-J18-L40258, MolDX: Genetic Testing for Hereditary Thrombophilia

J18

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

A57590, Billing and Coding: Non-Coronary Vascular Stents

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