HFS Attachment List of Codes Subject to Review (includes Attach D, E, F)
IMPORTANT: HFS Attachments A-C are subject to concurrent review.
HFS Attachments D and E are subject to retrospective prepayment review ONLY.
Attachment F is used for Prior Authorization of elective, inpatient CABG and Back Surgeries.
HFS Attachments A-F ICD-10 Codes Subject to Review Updated 10.1.2016