Prior Authorization Required?
Determine if prior authorization (PA) is required using Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes*. This tool only indicates the prior authorization requirements for the provided codes, and does not indicate or suggest coverage or non-coverage.
You may also access the State of Montana’s Medicaid fee schedules here for more information about prior authorization, coverage, reimbursement, passport requirements and other useful information.
Type CPT or HCPCS codes below, separated by a commas, to see if prior authorization is required:
Results will be shown below:
Code | Code Mod | Description | PA Required | Source | Notes |
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* CPT codes, descriptors, and other data only are copyright 1995-2017 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Apply.