Clinical Criteria for Prior Authorizations
Enhanced Respiratory Care (ERC)
Pharmacy Clinical Guidelines
- Cook County Healthcare and Hospitals Systems Prior Authorization Guidelines
- New Century Health Drug Policies
Clinical Policies and Procedures
- ECG_2702.CC for Transplant: Lung and Lobar Lung
- ECG_2704.CC for Gene Expression Testing Breast Cancer
- ECG_2707.CC for Bariatric Surgery
- ECG_2710.CC for Nutritional Support
- ECG_2711.CC for Clinical Trials
- ECG_2712.CC for Experimental and Investigational Services
- ECG_2714.CC for Peer-to-Peer Review Process
- ECG_2715.CC for Genetic Testing
- ECG_2719.CC for Surgical Management of Gender Dysphoria
- ECG_2720.CC for Definitive (Quantitative) Urine Drug Testing
- ECG_2723.CC for Car-T Therapy
- ECG_2724.CC for Authorization for Observation versus Inpatient Admission Level of Care
- ECG_2725.CC for Cognitive Performance Testing
- ECG_2726.CC for Community Support Services
- ECG_2727.CC for Neurobehavioral Status Exam
- ECG_2728.CC for Psychosocial Rehabilitation
- ECG_2729.CC for Targeted Case Management
- ECG_2731.CC for Human Donor Milk
- ECG_2732.CC for Post Acute Level of Care (PAC)
- ECG_2734.CC for Outpatient Major Joint Arthroplasty (Hips and Knees)
- ECG_2735.CC for Site of Service
- ECG_2736.CC for Non-Invasive Genetic Testing During Pregnancy
- ECG_2737.CC for Fertility Preservation for Iatrogenic Infertility
- ECG_2738.CC for Determination of Medical Necessity
- ECG_2739.CC for Utilization Review Process
- ECG_2740.CC for Definitions
- ECG_2741.CC for Administrative Days Requests
- EMP_2515.CC for Cosmetic versus Reconstructive Services
- eviCore PA List Effective 11.01.23
- See Diagnosis and Procedure Codes for Elective Delivery