Does L81.0 require prior authorization?

No, L81.0 does not require prior authorization (high confidence). Covered without prior authorization.

`L81.0`, Postinflammatory hyperpigmentation

ICD-10-CM

No Prior Auth Required

Covered without prior authorization (high confidence)

For any iontophoretic dermatologic or ophthalmologic application: documentation of agent(s) used, concentrations, device/model, current and duration parameters, and monitoring for local adverse effects (erythema, burns, corneal complications, etc.).
No documentation requirements are stated in this document chunk (bibliography).
For primary focal hyperhidrosis: documentation that the member is unresponsive to or unable to tolerate oral pharmacotherapy for excessive sweating (examples given: anti-cholinergics, beta-blockers, benzodiazepines).
For primary focal hyperhidrosis: documentation that significant disruption of professional and/or social life has occurred because of excessive sweating.

(Inferred from references) Iontophoresis for treatment of rheumatoid arthritic knees
(Inferred from references) Transepithelial iontophoresis corneal collagen cross-linking for progressive keratoconus
(Inferred from references) Whole-finger iontophoresis to increase blood flow in systemic sclerosis
(Inferred from references) Transdermal iontophoretic drug delivery platforms/technologies (general)
(Inferred from references) Conservative treatments, including iontophoresis, for patellar tendinopathy
(Inferred from references) Alternatives to oral opioids for cancer/postoperative pain including fentanyl iontophoretic transdermal system (ITS)

ANTHEM-CG-LAB-21, Serum Iron Testing

AETNA-CPB-0229, Iontophoresis

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