Cysto needing prior auth?

Codergirl93

Networker
Messages
93
Location
Sturtevant, WI
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Has anyone been notices cysto getting denied for no prior auth? This was just brought to my attention by one of the nurses in the office I work for. I haven't seen any information stating that a prior auth is needed for a cysto being done in the office. I don't know about everyone else's urologist but my guys will do a cysto on the fly. So has anyone else noticed this? The CPT code I am using is 52000.
 

michelleaapc2012

Guru
Local Chapter Officer
Messages
125
Location
Cookeville, TN
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We haven't had any scopes denied in the office, but I am aware that United HealthCare requires a scope to be authorized when performed in the hospital. What insurance are you having trouble with?
 
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