Does S76.121A require prior authorization?

No, S76.121A does not require prior authorization (high confidence). Covered without prior authorization.

`S76.121A`, Laceration of right quadriceps muscle, fascia and tendon, initial encounter

ICD-10-CM

No Prior Auth Required

Covered without prior authorization (high confidence)

Claims must include a valid ICD-10-CM diagnosis code that best describes the condition prompting the immunization; claims without a valid diagnosis code will be returned as incomplete under Section 1833(e).
When a referring/ordering physician is required, the name and NPI of that physician must be reported on the claim.
For outpatient services likely to be noncovered, use ABN procedures: use modifier -GA with a signed CMS‑R‑131 ABN (or -GZ if no ABN), and for Part A submissions include occurrence code 32 and the ABN date.

One tetanus booster dose is covered for a patient who completed primary immunization, has sustained a high‑risk wound (anaerobic conditions or probable exposure to tetanus spores), and has not received a booster within the past 5 years.
For clean, minor, uncontaminated wounds, a tetanus booster is covered only if the last booster was >10 years ago (booster every 10 years for most recipients).
Tetanus toxoid injections (including primary series completion) are covered when given for an acute injury if the patient has not received primary immunization or the patient's primary immunization status is unknown; unknown/uncertain histories should be treated as unvaccinated.
For inadequately vaccinated patients of any age, completion of the primary tetanus vaccination series should be ensured at discharge or follow-up after an injury and is covered in that context.
A knee orthosis is covered when it is a rigid or semi-rigid device used to support a weak or deformed knee or to restrict or eliminate motion in a diseased or injured knee and the device meets the reasonable and necessary requirements of the related Local Coverage Determination and all statutory/regulatory requirements.
Both off-the-shelf (OTS) and custom-fit knee orthoses are treated as prefabricated braces for coding and may be covered provided the coding accurately reflects whether only minimal self-adjustment was required at final fitting per 42 CFR §414.402.

CGS-J15-L34032, Debridement Services

J15

CGS-J18-L34032, Debridement Services

J18

WPS-J5-L34771, Immune Globulins

WPS-J5-L37228, Wound Care

A57554, Billing and Coding: Immune Globulins

WPS-J5-L34596, Immunizations

A55909, Billing and Coding: Wound Care

A56900, Billing and Coding: Immunizations

WPS-J8-L34596, Immunizations

WPS-J8-L34771, Immune Globulins

WPS-J8-L37228, Wound Care

A53065, Billing and Coding: Outpatient Physical Therapy

A52438, Billing and Coding: Tetanus Immunization

A56459, Billing and Coding: Debridement Services

A57311, Billing and Coding: Physical Therapy - Home Health

A52465, Knee Orthoses - Policy Article

A53058, Billing and Coding: Home Health Physical Therapy