Does T86.10 require prior authorization?

No, T86.10 does not require prior authorization (high confidence). Covered without prior authorization.

`T86.10`, Unspecified complication of kidney transplant

ICD-10-CM

No Prior Auth Required

Covered without prior authorization (high confidence)

Billing and coding guidance for non-coronary vascular stents is dependent on the coverage indications, limitations, and medical necessity specified in the related Local Coverage Determination (LCD); consult the related LCD for the specific coverage and coding requirements.
Select and report the appropriate CPT code for the test on the claim.
Enter 1 unit of service (UOS) for the test on the claim line.
Enter the appropriate DEX Z‑Code identifier adjacent to the CPT code in the comment/narrative field for Part B claims (Loop 2400 or SV101‑7 for 837P, Box 19 for paper claims).

Molecular testing for detection or monitoring of solid organ allograft rejection is covered when the patient and clinical situation meet the coverage criteria of the referenced MolDx LCD/policy.
AlloMap (CareDx) gene expression profile performed on blood is covered for surveillance/assessment of heart transplant rejection when coverage criteria are met.
AlloSure (CareDx) targeted NGS measuring percent donor-derived cell-free DNA from blood is covered for assessment of kidney, heart, and lung transplant injury/rejection when coverage criteria are met.
AlloCare (CareDx) AlloSure Heart plus AlloMap Heart performed on the same blood sample is covered for heart transplant assessment when coverage criteria are met.
Prospera (Natera) multiplex PCR–NGS measuring percent donor-derived cell-free DNA from blood is covered for assessment of kidney, heart, and lung transplant injury/rejection when coverage criteria are met.
QSant (NephroSant) multianalyte urine assay producing a composite Q-score is covered for assessment of kidney transplant rejection risk when coverage criteria are met.

CGS-J15-L38582, MolDX: Molecular Testing for Solid Organ Allograft Rejection

J15

CGS-J15-L40139, MolDX: Molecular Testing for Solid Organ Allograft Rejection

J15

CGS-J15-L40140, MolDX: Molecular Testing for Solid Organ Allograft Rejection

J15

CGS-J18-L40140, MolDX: Molecular Testing for Solid Organ Allograft Rejection

J18

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