Does R68.2 require prior authorization?

No, R68.2 does not require prior authorization (high confidence). Covered without prior authorization.

`R68.2`, Dry mouth, unspecified

ICD-10-CM

No Prior Auth Required

Covered without prior authorization (high confidence)

None specified in the document. (The CPB does not provide explicit documentation requirements such as required medical records, test results, or prior authorization criteria.)
No explicit documentation requirements (medical records, test results, or other specific documentation) are specified in this Clinical Policy Bulletin.
Implied documentation to support coverage would include documentation of the covered diagnosis (e.g., anal dysplasia K62.82 or grade I/II internal hemorrhoids K64.0-K64.1) and clinical evidence that hemorrhoids are painful or persistently bleeding, but the policy does not list required forms, timeframes, or specific tests.

Xerostomia (dry mouth) — This Clinical Policy Bulletin addresses xerostomia: selected treatments. (No explicit "Covered Indications" section or explicit covered interventions are provided in the document.)
Infrared coagulation (IRC) for the treatment of internal hemorrhoids (Grade I and Grade II).
Infrared coagulation (IRC) as an outpatient therapy for hemorrhoids (used as a non-surgical outpatient therapy).
IRC ablation of anal high-grade squamous intraepithelial lesions (HSILs) / anal dysplasia (studies demonstrating increased HSIL clearance vs monitoring).
Infrared coagulation medically necessary for anal dysplasia.
Infrared coagulation medically necessary for members with grade I or grade II internal hemorrhoids that are painful or persistently bleeding.

ANTHEM-CG-LAB-30, Outpatient Laboratory-based Blood Glucose Testing

AETNA-CPB-0302, Xerostomia: Selected Treatments

AETNA-CPB-0604, Infrared Therapy

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