Does T82.211D require prior authorization?

No, T82.211D does not require prior authorization (high confidence). Covered without prior authorization.

`T82.211D`, Breakdown (mechanical) of coronary artery bypass graft, subsequent encounter

ICD-10-CM

No Prior Auth Required

Covered without prior authorization (high confidence)

The patient's medical record must fully document medical necessity for the cardiac catheterization and support the diagnosis and procedures billed.
Each claim must include ICD-10-CM diagnosis code(s) that accurately reflect the patient's condition and reason for the procedure and these codes must be linked to the CPT procedure codes on the claim.
When a referring/ordering physician is required, the name and NPI of the referring/ordering physician must be reported on the claim; for extra-cardiac angiographic services the treating physician's name and NPI must be submitted in items 17/17a of CMS-1500 or electronic equivalent.

Medicare Part B covers the professional component of cardiac catheterization and coronary angiography when performed in hospital inpatient and outpatient facility settings.
Diagnostic cardiac catheterization performed in an office setting (where permitted) is covered under Medicare Part B for both professional and technical components.
Global and technical component procedures are covered under Part B when performed under personal physician supervision in an IDTF, free-standing facility, physician office, or physician-directed clinic (physician present in room for entire procedure).
CPT 97110 may be billed when treating impairments of exercise tolerance due to cardiopulmonary impairments.
CPT 97542 (wheelchair management training) may be billed for wheelchair propulsion training when the training is tied to expected functional goals attainable by the patient or caregiver.
Home health physical therapy services are appropriate when based on impairments of body structure/function and demonstrable functional limitations consistent with the related LCD.

NGS-J6-L33577, Transthoracic Echocardiography (TTE)

A56781, Billing and Coding: Transthoracic Echocardiography (TTE)

NGS-J6-L33557, Cardiac Catheterization and Coronary Angiography

A52850, Billing and Coding: Cardiac Catheterization and Coronary Angiography

A57179, Billing and Coding: Transesophageal Echocardiogram

FIRST_COAST-L33756, Transesophageal Echocardiogram

NGS-JK-L33557, Cardiac Catheterization and Coronary Angiography

NGS-JK-L33577, Transthoracic Echocardiography (TTE)

A57326, Billing and Coding: Electrocardiograms

A53058, Billing and Coding: Home Health Physical Therapy

A56625, Billing and Coding: Echocardiography

A56691, Billing and Coding: Cardiac Computed Tomography & Angiography (CCTA)