Does T23.799S require prior authorization?

No, T23.799S does not require prior authorization (high confidence). Covered without prior authorization.

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`T23.799S`, Corrosion of third degree of multiple sites of unspecified wrist and hand, sequela

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Documentation Required

The article provides billing/coding guidance that complements LCD L39400; use the documentation, prior authorization, and claim submission requirements specified in LCD L39400 and the local contractor's instructions.
Product-specific application details: documentation of product lot, size, number of applications, fixation method (sutures, staples, adhesives), and whether single or multiple applications were performed (many devices are single-use and dosage is per cm2 or per mg for particulates).
For use of biologic implants/allografts/xenografts: documentation of patient allergies or sensitivities (e.g., known porcine sensitivity excludes Mediskin), informed consent noting product source (human, porcine, bovine, ovine), and rationale for selection.

Clinical monitoring and follow-up documentation: serial wound assessments, photographic documentation, monitoring for adverse events (e.g., infection beneath dressings or grafts), and documentation of healing progress (percent area reduction, time to re-epithelialization).

Key Coverage Criteria

No specific clinical indications are listed in this article; follow the Local Coverage Determination (LCD) L39400 for indications for magnesium testing or services.
Use of acellular human dermal allograft in rhinoplasty
Healing septal perforations using acellular dermis as bioscaffold
Artiss is approved for attachment of skin grafts onto burn patients (clinical trial basis described).
AlloSkin: As an allogeneic human, cadaver-derived skin graft for the management of traumatic skin wounds and burn wounds if the wound is too large for autograft. (Note: not AlloSkin AC or AlloSkin RT, which are different products).
AmnioBand: For the treatment of: Difficult-to-heal chronic venous partial and full-thickness ulcers of the lower extremity that have failed standard wound therapy of at least 4-weeks duration; Partial and full‐thickness neuropathic diabetic foot ulcers that are greater than 6 weeks in duration with no capsule, tendon or bone exposed, when used in conjunction with standard diabetic ulcer care.

3 Active Policies

ANTHEM-CG-SURG-127, Products for Wound Healing and Soft Tissue Grafting: Medically Necessary Uses

AETNA-CPB-0244, Skin and Soft Tissue Substitutes

A59186, Billing and Coding: Magnesium

`T23.799S`, Corrosion of third degree of multiple sites of unspecified wrist and hand, sequela

Prior Authorization

Documentation Required

Key Coverage Criteria

3 Active Policies

Related Codes

Have a follow-up question?

T23.799S, Corrosion of third degree of multiple sites of unspecified wrist and hand, sequela

Prior Authorization

Documentation Required

Key Coverage Criteria

3 Active Policies

Related Codes

Have a follow-up question?

`T23.799S`, Corrosion of third degree of multiple sites of unspecified wrist and hand, sequela