Does S9977 require prior authorization?

No, S9977 does not require prior authorization (high confidence). Covered without prior authorization.

What is the Medicare reimbursement rate for S9977?

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

HCPCS/CPT

No Prior Auth Required

Covered without prior authorization (high confidence)

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

Documentation requirement: Only patients accepted for transplantation by an approved transplantation center and actively listed for transplant should be considered for transplant coverage and determination of medical necessity.

Coverage for transplantation is limited to patients accepted by an approved transplantation center and actively listed for transplant.

BCBSIL-SUR703.001, Organ and Tissue Transplantation (General Donor and Recipient Information)

BCBSMT-SUR703.001, Organ and Tissue Transplantation (General Donor and Recipient Information)

BCBSNM-SUR703.001, Organ and Tissue Transplantation (General Donor and Recipient Information)

BCBSOK-SUR703.001, Organ and Tissue Transplantation (General Donor and Recipient Information)

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