The program aims to save patients and providers time by allowing qualifying providers to skip the prior authorization process for a number of procedure codes. The program is set to launch Oct. 1.
Here are the orthopedic procedure codes that will be eligible for the new program:
24365: Arthroplasty radial head
25441: Arthroplasty with prosthetic replacement distal radius
25442: Arthroplasty with prosthetic replacement distal ulna
25443: Arthroplasty with prosthetic replacement scaphoid carpal
25444: Arthroplasty with prosthetic replacement lunate
25446: Arthroplasty with prosthetic wrist replacement
25449: Removal of wrist joint implant
27416: Osteochondral autograft knee open mosaicplasty
27488: Removal prosthetic total knee MMA with or without INSJ spacer
27702: Arthroplasty ankle with implant
29843: Arthroscopy WRIST infection lavage and drainage
29851: Arthroscopy aid TX spine/FX knee with FIXJ
29856: Arthritis aid tibial FX prox unicondylar bicondylar
29866: Arthroscopy knee osteochondral allograft mosiacplasty
29867: Arthroscopy knee osteochondral allograft
73200: CT upper extremity without contrast material
73201: CT upper extremity with contrast material
73202: CT upper extremity with and without contrast material
73221: MRI any joint upper extremity without contrast material
73222: MRI any joint upper extremity with contrast material
73223: MRI any joint upper extremity without contrast material
73225: MRA upper extremity with or without contrast material
73700: CT lower extremity without contrast material
73701: CT lower extremity with contrast material
73702: CT lower extremity with or without contrast material
73721: MRI any joint lower extremity without contrast material
73722: MRI any joint lower extremity with contrast material
73723: MRI any joint lower extremity without and with contrast material
73725: MRA lower extremity with or without contrast material
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