Does K62.82 require prior authorization?

No, K62.82 does not require prior authorization (high confidence). Covered without prior authorization.

`K62.82`, Dysplasia of anus

ICD-10-CM

No Prior Auth Required

Covered without prior authorization (high confidence)

The submitted CPT/HCPCS code must accurately describe the service performed.
All documentation must be maintained in the patient medical record and made available to the contractor upon request.
Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service).
The documentation must include the legible signature of the physician or non-physician practitioner responsible for and providing the care.

Diagnostic colonoscopy is covered when the service meets the reasonable and necessary requirements specified in Local Coverage Determination L33671.
Colonoscopy/sigmoidoscopy/proctosigmoidoscopy is covered for surveillance of colonic neoplasia in patients with a history of colorectal cancer or colonic polyps.
A follow-up procedure is covered 1 year after surgery for treatment of colorectal cancer when the patient is identified as high-risk for colon cancer and is eligible for continued screenings.
Transrectal ultrasound (TRUS) is covered when it is medically necessary and consistent with the related Local Coverage Determination (LCD) with supporting documentation in the medical record.
Use CPT 11400-11446 when the excision is a full-thickness removal through the dermis including margins and including simple (non-layered) closure.
Use CPT 17110 for destruction of benign lesions other than skin tags or cutaneous vascular lesions for up to 14 lesions (report 1 unit).

CGS-J15-L34005, Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy

J15

CGS-J18-L34005, Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy

J18

A57482, Billing and Coding: Removal of Benign Skin Lesions

WPS-J5-L35498, Removal of Benign Skin Lesions

NGS-J6-L33578

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