TO: HOSPITAL AND PHYSICIAN PROVIDERS
FROM: PAMELA MASON, Acting Bureau Chief
Bureau of Medicaid Programs and Resource Management
Hospitals: As of July 01, 2001, the following ICD-9 procedure codes will require prior authorization from The Department.
85.53 Unilateral breast implants
85.96 Removal of breast tissue expander
Physicians: As of July 01, 2001, the following CPT procedure code will require prior authorization from The Department.
11970 Replacement of tissue expander with permanent prosthesis
If you have any questions in regard to this Information Release, please contact Colleen Osborn at (208) 364-1923 or Esther Ussing at (208) 364-1835.
Thank you for your continued participation in the Idaho Medicaid Program.