The search function below will allow you to identify authorization requirements for specific procedure codes by place of service.
Search Options - by place of service Physician Office - 11 Provider Based Clinic – 11 Outpatient Surgery or Services – 22
N = No authorization required for services rendered in this place of service.
Y = Prior authorization is required for services rendered in this place of service. Please submit a Medical Necessity Form to Peoples Health using the fax numbers listed on the form.
NA = not applicable. This code should not be billed for this place of service per AMA coding guidelines.
For highlighted codes, please refer to the comments.
All services that cannot be provided in-network require authorization.
Approved provider-based clinics should follow authorization information for place of service 11. Authorization information does not guarantee payment as services must be medically necessary. Individual contracts or agreements which may have special configuration will not be indicated on this search. Please contact Provider Relations at 504.681.8828 for more information.
If no results are provided, please contact us so that we may research and ensure this search function is updated. Contact Us