Effective June 1, 2025, the following codes will require prior authorization to be submitted to Oklahoma Complete Health.

Date: 03/21/25

The following codes will require prior authorization to be submitted to Oklahoma Complete Health.

31276: Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed

31298: Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia

 

The following codes will no longer require prior authorization:

 

77333: Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)

77417: Therapeutic radiology port image(s)

93567: Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure)

93571: Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress; initial vessel (List separately in addition to code for primary procedure)

93662: Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)

K0001: Standard wheelchair

 

If you have questions, please contact Provider Services.