Date Posted: 04/10/2024
The following new codes were added to our preauthorization list starting April 1, 2024.
Codes Added to Preauthorization List Starting April 1, 2024
| CPT/HCPCS Code | CPT Code Description |
|---|---|
0444U |
Oncology (solid organ neoplasia), targeted genomic sequence analysis panel of 361 genes, interrogation for gene fusions, translocations, or other rearrangements, using DNA from formalin-fixed paraffin-embedded (FFPE) tumor tissue, report of clinically significant variant(s) |
0448U |
Oncology (lung and colon cancer), DNA, qualitative, next-generation sequencing detection of single-nucleotide variants and deletions in EGFR and KRAS genes, formalin-fixed paraffin-embedded (FFPE) solid tumor samples, reported as presence or absence of targeted mutation(s), with recommended therapeutic options |
A4271 |
Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per month |
E0468 |
Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions |
E2104 |
Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge |
E2298 |
Complex rehabilitative power wheelchair accessory, power seat elevation system, any type |
K1037 |
Docking station for use with oral device/appliance used to reduce upper airway collapsibility |
L1320 |
Thoracic, pectus carinatum orthosis, sternal compression, rigid circumferential frame with anterior and posterior rigid pads, custom fabricated |
L5783 |
Addition to lower extremity, user adjustable, mechanical, residual limb volume management system |
L5841 |
Addition, endoskeletal knee-shin system, polycentric, pneumatic swing, and stance phase control |
