Medical & surgical services
In this section, Priority Health offers guidelines on authorizations, coding and billing for specific procedures and services that often raise questions.
Select from the options below to see more information.
- Acupuncture, Medicare
- Advance care planning
- After-hours primary care services
- Alcohol/substance use care
- Allergy injections
- Ambulance services
- Anesthesia services
- Anticoagulation management
- Asthma diagnosis and management
- Autism evaluation and treatment services
- Back & neck pain care
- Bariatric surgery services
- Blepharoplasty of upper lids
- Bone density studies
- Breast surgeries
- Care management
- Cataract surgery
- Cerumen removal
- Chemotherapy drugs Medicare
- Chlamydia urine testing
- Chronic kidney disease management
- Clinical trials
- Continuous glucose monitoring
- Cosmetic and reconstructive surgeries
- DVT management
- Dental services, Medicare Advantage
- Diabetes management
- DME
- ECG interpretation
- EPSDT visits and services
- ER visits, 2 the same day
- Excisions
- Gender-specific services/Condition code 45
- Genetic testing
- Global surgical packages
- Group visits
- Hearing services, Medicare
- Heart failure care
- Hemodialysis
- Home health care
- Hospice services, Medicare
- Hypercholesterolimia management
- Hyperhidrosis treatment
- Hypertension management
- Implantable cardioverter defibrillator
- Inpatient admissions, Medicare
- Intraoperative neurophysiological monitoring
- Joint replacement
- Lab tests
- Lead poisoning management
- Mammography, 3D
- Manipulations
- Maternal Infant Health Program services
- Prenatal, delivery and postpartum care
- Nutrition counseling, education and therapy
- Obesity management
- Observation
- Obstructive sleep apnea
- Operating microscope
- Panniculectomy and abdominoplasty
- Perc. left atrial appendage closure
- Physical therapy
- Podiatry services
- Port wine stain/hemangioma treatment
- Preoperative services, Medicare
- PSA testing, Medicare
- Prostatectomy
- Health and behavioral assessments/interventions
- Radiation oncology
- Radiology, advanced diagnostic
- Rhinoplasty/septoplasty
- Risk reduction education and counseling
- Safety assessments, Medicare in-home
- Scar revisions and keloid scar treatment
- Skilled nursing facility care, Medicare
- Sleep studies
- Stereotactic computer-assisted procedures
- Substance abuse screening and education
- Telemedicine
- Telemonitoring
- Tobacco cessation counseling
- Tonsillectomy
- Transplants, organ and bone marrow
- MIHP transportation services
- Trauma team activation
- Urgent care
- Vaccines and vaccine administration
- Varicose vein treatment
- Vitiligo treatment