Does K91.870 require prior authorization?

No, K91.870 does not require prior authorization (high confidence). Covered without prior authorization.

`K91.870`, Postprocedural hematoma of a digestive system organ or structure following a digestive system procedure

ICD-10-CM

No Prior Auth Required

Covered without prior authorization (high confidence)

This billing and coding guidance complements Local Coverage Determination L34434; follow LCD L34434 for clinical coverage criteria and required documentation for claims.
All services billed with unlisted procedure codes must include sufficient medical records and supporting documentation to allow development and medical review.
This billing and coding article provides guidelines that complement Local Coverage Determination L34415 for CT of the abdomen and pelvis; consult LCD L34415 for specific coverage indications, limitations, and documentation requirements.

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.
Diagnostic abdominal aortography and renal angiography are covered when they meet the reasonable and necessary clinical requirements specified in LCD L35092.
When femoral or iliac angiography is performed at the time of coronary angiography, bill using HCPCS code G0278.
Bill HCPCS code G0278 for femoral or iliac angiography performed at the time of coronary angiography.
Aortography and peripheral angiography are covered when reasonable and necessary per Local Coverage Determination L36767 and when documentation supports the selected ICD-10-CM diagnosis and medical necessity.

A57056, Billing and Coding: Aortography and Peripheral Angiography

FIRST_COAST-L33583, Diagnostic and Therapeutic Esophagogastroduodenoscopy

FIRST_COAST-L36767, Aortography and peripheral angiography

A57063, Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy

NOVITAS-JH-L35092, Diagnostic Abdominal Aortography and Renal Angiography

NOVITAS-JL-L35092, Diagnostic Abdominal Aortography and Renal Angiography

A56682, Billing and Coding: Diagnostic Abdominal Aortography and Renal Angiography

A56389, Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization

A56775, Billing and Coding: Magnetic Resonance Angiography

A56421, Billing and Coding: CT of the Abdomen and Pelvis

A56632, Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy