CurrentUnitedHealthcarePolicy N/A

Prior authorization requirements for Missouri Medicaid

Lists services, procedures, CPT/HCPCS/ICD-10 codes, and instructions for submitting prior authorization requests for UnitedHealthcare Community Plan of Missouri participating providers. Applies to inpatient and outpatient services and to participating and out-of-network providers (except emergency/urgent care).

Policy Summary

PayerUnitedHealthcare

PolicyPrior authorization requirements for Missouri Medicaid

Policy CodePolicy N/A

Change TypeNo material changes

Effective DateFeb 1, 2026

Next Review DateN/A

Key ActionSubmit prior authorization requests via the Prior Authorization and Notification tool on the UnitedHealthcare Provider Portal or call the listed phone numbers.

SourceLink

POLICY UPDATE CHANGES

No material clinical or coverage changes in this revision.

2026-02-01policy effective date stated

Portal + phoneauthorization submission methods listed

Multiplecoded items requiring PA (examples)

EXEMPTemergency/urgent care exception

>$500orthotics/prosthetics PA threshold

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Numerousgenetic testing codes listed

Services and Codes Requiring Prior Authorization

Coverage criteria excerpts

Specific services and codes that require prior authorization and any special instructions noted in the document segment provided.

Abortion: Carved out to state; prior authorization handled per state policy (no UnitedHealthcare PA).

Bariatric surgery: Prior authorization required; example CPT codes include 43644, 43645, 43770, 43775, 43845, 43846, 43847, 43848, 43860.

Behavioral health services: Prior authorization required for specific codes; providers should call the number on the member's health plan ID card for referrals for mental health and substance use services.

Bone growth stimulator (electrical stimulation/ultrasound to heal fractures): Prior authorization required; CPT 20979.

Breast reconstruction: Prior authorization required; example CPT codes include 11971, 19316, 19318, 19325.

Cardiology procedures: Prior authorization required for outpatient and office-based diagnostic catheterizations, echocardiograms, electrophysiology implants and stress echoes prior to performance; see Cardiology sections for extensive CPT/ICD listings.

Prior authorization coverage criteria (excerpt)

Services and codes requiring prior authorization or conditional authorization in this excerpt.

Cochlear implants and other auditory implants: Prior authorization required; example codes include 69714, 69930, L8614, L8619.

Circumcision (medical necessity): Prior authorization required only for cases with documented medical necessity; CPT codes 54161–54164.

Reconstructive and cosmetic procedures: Prior authorization required for reconstructive procedures that treat a medical condition and for certain cosmetic/reconstructive CPT codes (many listed in policy).

Durable Medical Equipment (DME): Listed HCPCS/DME codes require prior authorization; some codes require authorization only when billed with retail purchase or cumulative criteria.

DME and Cardiology authorization criteria

Durable Medical Equipment (DME) and Cardiology-related HCPCS codes

DME: Prior authorization required for listed DME HCPCS codes (examples include A9900, E0194, E0265, E0270, E0277, E0300, E0328, E0329, E0445, E0457, E0460, E0465, E0466, etc.).

DME cost/rental threshold: Prior authorization required for DME items listed when retail purchase or cumulative rental cost exceeds $500; prosthetics are not considered DME.

Cardiology-related equipment and procedure codes: Extensive cardiology procedure and equipment codes are listed and require prior authorization as noted in the cardiology section.

Enteral services criteria

Enteral services and in-home nutritional therapy

In‑home nutritional therapy (enteral or alternative): Prior authorization required for in‑home nutritional therapy; relevant codes include V5281–V5290, B9002, B9998, and related T‑codes (e.g., T1999, T5999).

Genetic testing and investigational services criteria

Genetic and molecular testing and experimental/investigational procedures

Genetic and molecular testing: Prior authorization or notification is required for an extensive list of genetic/molecular CPT, HCPCS and U‑codes; the ordering provider must indicate the performing laboratory as part of the authorization/notification process (examples include 81162, 81163, 81400–81417, 81431, 81439, 81449–81465, 0007M, 0022U, and many U‑codes).

Experimental/Investigational procedures: Certain services/procedures designated Experimental and Investigational require prior authorization (examples include codes listed such as 33477, 36514 and other specified CPT/HCPCS entries).

Prior authorization requirements (partial)

Services and codes in this fragment with explicit prior authorization requirements or notes:

Home health: Prior authorization required in outpatient settings (to include member's home); example HCPCS/CPT codes include G0299, G0300, G0493, G0494.

Hysterectomy: Prior authorization required for listed hysterectomy CPT codes (examples: 58150, 58152, 58180, 58260, 58262, 58263, 58267, 58270, 58290, 58291, 58292, 58542–58544, 58550, 58552–58553, 58570–58573).

Joint replacement (total hip/knee): Prior authorization required for listed joint replacement CPT codes (examples include 27120, 27125, 27130, 27132, 27134, 27137, 27138, 27412, 27446, 27447, 27486, 27487).

Non‑emergent air ambulance: Prior authorization required (example codes A0430, A0431, A0435, A0436).

Orthognathic surgery: Prior authorization required for listed orthognathic CPT codes (examples include 21121, 21123, 21125, 21127, 21141–21147, 21150–21151, 21154–21160, 21188, 21193–21199, 21206, 21208–21210, 21215, 21240, 21242–21249, 21255, 21296, 21299).

Examples of prior-authorization-required services

Services and codes listed in this section require prior authorization as indicated.

Proton beam therapy: Prior authorization required; example CPT codes include 77520, 77522, 77523, 77525. Providers must follow portal submission instructions for advanced outpatient imaging and specialized therapies.

ENT and pain procedures

Other procedures requiring prior authorization as listed

Pain management injections: Prior authorization required for listed CPTs such as 64490 and 64493.

Sinuplasty: Prior authorization required for sinuplasty CPTs 31295–31298.

Septoplasty/rhinoplasty: Prior authorization required for septoplasty/rhinoplasty CPTs 30460, 30462, 30465.

Site-of-service prior authorization criteria (informational)

Site-of-service guidance and prior authorization applicability for listed procedures

Site‑of‑service (SOS) rule: Some procedures listed under outpatient hospital require prior authorization unless performed at a participating ambulatory facility or participating ambulatory surgery center (ASC), where prior authorization may not be required; the policy enumerates multiple CPT/HCPCS codes by clinical category under the SOS outpatient hospital framework.

Outpatient hospital procedural lists: Presence of CPT/HCPCS codes in the SOS outpatient hospital lists implies they are subject to the site's prior authorization framework unless otherwise noted in policy (see enumerated cross‑sections such as Digestive, Musculoskeletal, Eye).

Prior authorization-required services (excerpt)

Prior authorization required for the following categories and codes as listed below in this document segment.

Sleep apnea surgical procedures (maxillomandibular advancement and oral‑pharyngeal tissue reduction): Prior authorization required; example CPTs include 21685, 41599, 42145.

Sleep studies (attended and unattended): Prior authorization required; example CPTs include attended 95805–95810 and unattended 95800–95806.

Spinal surgery: Prior authorization required for listed spinal procedure CPT codes (examples include 22100–22220 series and extensive spinal code listings).

Implantation of stimulators/neurostimulators/bone growth stimulators: Prior authorization required (see bone growth stimulator CPT 20979 and stimulators listing).

Transplants and CAR T‑cell therapy: Prior authorization required for transplant and CAR T‑cell services; inpatient transplants are carved out to the state; contact Transplant Case Management at 888‑936‑7246 or use the notification number on the member's ID card.

Prior authorization notes (partial)

Prior authorization requirements and notes for listed services:

Codes with conditional PA: Some codes (e.g., 38232) may require prior authorization only in specified circumstances (see policy note).

Transplant/CAR T‑cell contact and carve‑out: Inpatient transplant procedures are carved out to the state; for transplant and CAR T‑cell therapy contact UnitedHealthcare Community and State Transplant Case Management at 888‑936‑7246 or the notification number on the member's health plan ID card.

VAD process note: For ventricular assist services, call the notification number on the member's health plan ID card and then fax the form provided by the nurse to Optum at 855‑282‑8929; prior authorization is required.

Referenced CPT / HCPCS / ICD-10 Code Lists

Bariatric surgery CPT examplesCPTCovered

43644	Bariatric surgery code listed as requiring prior authorization
43770	Bariatric surgery code listed as requiring prior authorization
43845	Bariatric surgery code listed as requiring prior authorization

Breast reconstruction CPT examplesCPTCovered

11971	Breast reconstruction code listed
19316	Breast reconstruction code listed
19325	Breast reconstruction code listed

Bone growth stimulatorCPTCovered

20979

Bone growth stimulator (electrical stimulation) requiring prior authorization

Cardiology diagnosis codes (ICD-10 examples)ICD-10Covered

I73.00	Example ICD-10 diagnosis code listed in cardiology section
I73.01	Example ICD-10 diagnosis code listed in cardiology section

Selected CPT codes requiring prior authorizationCPTCovered

11960	Reconstructive procedure (listed example)
14020	Reconstructive/cosmetic procedure (listed example)
67904	Eyelid procedure (listed example)

Selected ICD-10 codes referencedICD-10

C44.01	ICD-10 diagnosis codes listed (skin cancers)
C44.131	ICD-10 diagnosis codes listed

Selected HCPCS/L-codesHCPCSCovered

L8614	Prosthetic device code for cochlear implant
A9900	Miscellaneous DME supply code

Cardiology / DME code list requiring prior authorizationHCPCS

D04.121	Listed under Cardiology section (format in document includes ICD-like codes)
E0445	DME HCPCS code listed
E0483	DME HCPCS code listed

Genetic and molecular testing codesCPTCovered

81162	Genetic testing CPT code
81431	Genetic panel CPT code
0007M	Genetic testing code

Cardiology PLA/HCPCS codes (partial)HCPCS

0179U	Cardiology-related HCPCS/PLA code listed
0154U	Cardiology-related HCPCS/PLA code listed
0170U	Cardiology-related HCPCS/PLA code listed
0171U	Cardiology-related HCPCS/PLA code listed
0214U	Cardiology-related HCPCS/PLA code listed
0209U	Cardiology-related HCPCS/PLA code listed

Selected L-codes (orthotics/prosthetics and cardiology-related L-codes)HCPCS

L3764	DME/orthotics/prosthetics L-code listed
L3900	DME/orthotics/prosthetics L-code listed
L5100	DME/orthotics/prosthetics L-code listed

Selected procedural CPT codes requiring authorizationCPTCovered

64490	Injection, diagnostic or therapeutic
64493	Injection, diagnostic or therapeutic
77520	Proton beam therapy

Eye and ocular adnexa codes (sample)CPT

65710	Ophthalmologic procedure (listed)
66986	Ophthalmologic/lens procedure (listed)
67105	Retinal procedure (listed)

Integumentary system (sample)CPT

10121	Introduction/biopsy/injection (listed)
11624	Excision (listed)

Ophthalmologic codes appearing in this segmentCPT

65426	Ophthalmologic procedure code listed
65730	Ophthalmologic procedure code listed
65855	Ophthalmologic procedure code listed
66170	Ophthalmologic procedure code listed
66761	Ophthalmologic procedure code listed
67028	Ophthalmologic procedure code listed

Musculoskeletal and abdominal procedure codes (partial list)CPT

44137
44720
44721
47135
47140
47141
47142
47146
47147
48552

1–10 of 15

1/2

Transplant and vein procedure codes (partial list)mixed

Q2041
Q2042
38232	*Code 38232 will only require prior authorization for an (note truncated in source)
36473
36475
36478

Ventricular assist and wound vac procedure codesCPT

37700
33975
33976
33979
33981

Prior authorization conditionality

Conditional prior authorizationSome CPT/HCPCS codes require prior authorization except when billed with specified diagnosis codes (document lists diagnosis-code exceptions) or when billed with retail purchase/cumulative criteria that alter PA requirement.

Example exception wording'* Prior authorization not required when billed with the following diagnosis codes' — specific ICD-10 codes (e.g., C43.x series) are listed as exceptions.

Where listed

What Providers Must Do

Prior Authorization

How to submit prior authorization requests and emergency exception

Submit prior authorization requests via the Prior Authorization and Notification tool on the UnitedHealthcare Provider Portal (UHCprovider.com). Sign in with your One Healthcare ID, select the Prior Authorization and Notification tile, and follow the online submission steps. If you need assistance, call the UnitedHealthcare prior authorization phone numbers listed for the specific program or 888-702-2202 as applicable. Prior authorization is not required for emergency or urgent care. Out-of-network providers must request prior authorization for all procedures and services except emergent or urgent care.

Online: Prior Authorization and Notification tool on the UnitedHealthcare Provider Portal (UHCprovider.com) — sign in with One Healthcare ID
Phone: Use the program-specific numbers (e.g., 866-889-8054 for certain programs) or 888-702-2202 where shown
Emergency/urgent care: Prior authorization not required
Out-of-network providers: Must request prior authorization for all procedures/services other than emergent/urgent care

Prior Authorization

Site-of-service prior-authorization rules

Key Terms and Thresholds

Prior authorization (definition and scope)

DefinitionPrior authorization: A process where providers must obtain approval from UnitedHealthcare before performing certain procedures or services (not required for emergency or urgent care).

Submission methodsSubmit via the Prior Authorization and Notification tool on the UnitedHealthcare Provider Portal (UHCprovider.com) using One Healthcare ID, or call 888-702-2202.

Out-of-network ruleOut-of-network providers must request prior authorization for all procedures and services except emergent/urgent care.

Carved out to state

DefinitionCarved out to state: Services (e.g., abortion) are excluded from UnitedHealthcare's authorization requirements and are handled per state policy (document marks abortion as 'Carved out to state').

Example

Policy Summary

PayerUnitedHealthcare

PolicyPrior authorization requirements for Missouri Medicaid

Policy CodePolicy N/A

Change TypeNo material changes

Effective DateFeb 1, 2026

Next Review DateN/A

Key ActionSubmit prior authorization requests via the Prior Authorization and Notification tool on the UnitedHealthcare Provider Portal or call the listed phone numbers.

SourceLink

On This Page

Orthotics/prosthetics L‑codes: Prior authorization required only for orthotics and prosthetic codes listed with retail purchase or cumulative rental cost of more than $500 (extensive L‑code list in policy).

Vein procedures: Prior authorization required for listed vein CPTs including 36473, 36475, 36478.

Ventricular assist services (VAD): Prior authorization required; providers must call the notification number on the member's ID card and fax forms as instructed (Optum fax 855‑282‑8929).

Conditionality appears in the Cardiology section alongside code listings and diagnosis-code notes.

DME cost/rental threshold

DME rental/purchase threshold$500 — PA required for DME items with rental cost more than $500 or cumulative purchase/rental cost of $500 (threshold noted in DME listings).

Example codes referencedE0470, E0471, E0483, E0486, E0620, E0636, E0637, etc. — codes appear in DME section tied to threshold rules.

Exclusion noteProsthetics are explicitly not considered DME for these threshold rules.

Orthotics/prosthetics PA threshold

Orthotics/prosthetics PA thresholdPrior authorization required for orthotics and prosthetic codes listed when retail purchase or cumulative rental cost is more than $500.

ScopeApplies to extensive HCPCS L-code listings (orthotics/prosthetics) where additional information flags the retail/purchase or cumulative rental cost threshold.

Where describedOrthotics and prosthetics entries in Cardiology section include the PA threshold and multiple L-codes tied to the rule.

Codes with conditional prior authorization

38232 conditional prior authorizationCode 38232 is noted with a conditional statement: '*Code 38232 will only require prior authorization for an' — indicating PA applies only in specified circumstances (text truncated in source).

ContextListed in the Transplants section alongside other transplant-related codes and CAR T-cell therapy references.

Action for providersTreat 38232 as conditionally subject to prior authorization and consult the full policy or contact case management for specifics.

Certain procedures require prior authorization when performed in an outpatient hospital site of service (SOS). Some CPT/HCPCS codes that would otherwise require authorization are not subject to that requirement when performed at a participating ambulatory surgery center (ASC) or other specified non-hospital site. Providers ordering advanced outpatient imaging (CT, MRI, MRA, PET, nuclear medicine and nuclear cardiology) must notify or obtain prior authorization before scheduling. Always confirm site-of-service requirements for the procedure being scheduled and submit authorization or notification through the Provider Portal or by calling the program number.

Site-of-service (SOS) — outpatient hospital: Prior authorization required for many listed procedures
No prior authorization required if performed at a participating ambulatory surgery center (ASC) for certain codes — verify per-code/site guidance
Advanced outpatient imaging (selected CT, MRI, MRA, PET, nuclear medicine/nuclear cardiology): Provider must notify or obtain prior authorization prior to scheduling
When in doubt, submit requests via the Prior Authorization and Notification tool or call the applicable program number (e.g., 866-889-8054)

Prior Authorization

Cardiology prior authorization requirement

Participating physicians must obtain prior authorization for many outpatient and office-based procedures, including but not limited to diagnostic catheterizations, echocardiograms, electrophysiology implants, stress echoes, certain radiology/imaging and other procedures listed in the program resources. Refer to the specialty-specific prior authorization resources on UHCprovider.com/MOcommunityplan for complete CPT/HCPCS lists and program phone numbers.

Outpatient and office-based diagnostic catheterizations: prior authorization required
Echocardiograms and stress echocardiography: prior authorization required
Electrophysiology implants: prior authorization required
See UHCprovider.com/MOcommunityplan > Prior Authorization and Notification Resources for full code lists

Prior Authorization

Additional provider actions (DME, devices, specialty programs)

Certain devices, durable medical equipment (DME), enteral services, implants and other high-cost items require prior authorization. Some DME/orthotics/prosthetics require authorization only when purchased at retail or when cumulative rental cost exceeds specified thresholds. Genetic/molecular tests, experimental/investigational services, and many surgical procedures (including joint replacements, spinal surgery, stimulators, transplants, VADs, vein procedures and select ENT/maxillofacial surgeries) require prior authorization or notification as noted in the specialty lists. Follow the program-specific submission instructions and phone numbers.

Durable Medical Equipment (DME): prior authorization required for listed HCPCS codes; some codes only when billed with retail purchase or cumulative rental cost thresholds
Enteral services / in-home nutrition therapy: prior authorization required
Experimental/Investigational services and listed genetic tests: prior authorization/notification required
Joint replacement, spinal surgery, stimulators/neurostimulators, transplants/CAR T-cell therapy, VADs, vein procedures: prior authorization required; follow program phone/notification instructions
Orthotics and prosthetics: prior authorization required only for codes listed with retail purchase or cumulative rental cost > $500

Abortion entries in the policy explicitly state 'Carved out to state' instead of listing CPT/HCPCS or PA instructions.

ImplicationProviders should follow state-specific processes for carved-out services rather than the payer's PA workflow.

Cochlear implants and other auditory implants

DefinitionCochlear implants and other auditory implants: a medical device within the inner ear with an external portion to help persons with profound sensorineural deafness achieve conversational hearing; prior authorization required.

Example codesExamples listed include CPT/HCPCS codes 69714, 69930, L8614, L8692, L8619.

ActionPrior authorization must be obtained before performance of cochlear implant services.

Circumcision (medical necessity)

DefinitionCircumcision (medical necessity): Prior authorization is required only for cases with documented medical necessity.

Example CPTsCPT codes listed include 54161, 54162, 54163, 54164.

Provider implicationRoutine/non-medically necessary circumcisions may not require PA per this policy; PA is required when medical necessity is documented.

Durable Medical Equipment (DME)

DefinitionDurable Medical Equipment (DME): Equipment and supplies listed under DME may require prior authorization; some items are subject to rental/purchase cost thresholds and prosthetics are not classified as DME in this section.

Thresholds and examplesMany HCPCS codes listed (A9900, E0194, E0265, E0270, E0445, E0457, E0460, E0465, E0470, E0483, E0486, etc.) and some have PA only when retail purchase or cumulative rental/purchase criteria apply.

ExclusionProsthetics are explicitly not DME per the document's note.

Enteral services / In-home nutritional therapy

DefinitionEnteral services / In-home nutritional therapy: Enteral and alternative in-home nutritional therapy require prior authorization.

Example codesCodes referenced include V5281–V5290 series, B9002, and B9998 for in-home enteral nutrition.

ScopePA applies to in-home nutritional therapy whether enteral or alternative delivery methods are used.

Genetic and molecular testing

DefinitionGenetic and molecular testing: Genetic and molecular tests require prior authorization or notification; ordering provider must indicate the performing laboratory and follow specified notification/sequencing rules.

Examples of codesRepresentative codes include 81162, 81400–81408 series, 81431, and PLA/U-codes such as 0179U, 0154U, 0022U.

Provider actionProviders and laboratories must follow the policy's PA/notification process and supply laboratory information when requesting authorization.

Orthotics/prosthetics PA threshold

Threshold definitionOrthotics/prosthetics PA threshold: Prior authorization is required only for orthotics and prosthetic codes listed when retail purchase or cumulative rental cost is more than $500.

Affected codesMultiple HCPCS L-codes are listed in the orthotics/prosthetics section and are subject to this threshold rule.

NoteThe PA requirement is conditional on purchase/rental cost exceeding the $500 threshold rather than applying to all L-codes universally.

Outpatient/home settings PA

DefinitionOutpatient/home settings PA: The prior authorization requirement applies to outpatient settings and may include services provided in the member's home (e.g., home health, VAD notification process).

Example notesHome health care: 'Prior authorization required only in outpatient settings' and VADs require calling the notification number on the member's ID card and faxing forms to Optum.

ImplicationProviders should request PA for services performed in outpatient settings including the member's home unless an exception applies (e.g., emergency care).

Advanced outpatient imaging

DefinitionAdvanced outpatient imaging: Certain CT, MRI, MRA, PET, nuclear medicine and nuclear cardiology procedures are classified as advanced outpatient imaging and require prior authorization or notification before scheduling.

Submission methodProviders must submit PA requests online via the Prior Authorization and Notification tool on the UnitedHealthcare Provider Portal or call 866-889-8054 for radiology-specific inquiries.

ResponsibilityOrdering providers are responsible for providing notification prior to scheduling these procedures.

Site of service (SOS)

DefinitionSite of service (SOS): Whether prior authorization is required can depend on the site of service — outpatient hospital versus a participating ambulatory facility or ASC; some services require PA only when performed in an outpatient hospital setting.

ExampleThe document notes that prior authorization is not required if certain procedures are performed at a participating ambulatory facility or ASC.

ImplicationProviders should verify the site of service when determining PA requirements for listed procedures.

Participating ambulatory (facility) / ASC

DefinitionParticipating ambulatory (facility) / ASC: A participating ambulatory facility or ambulatory surgery center (ASC) is a site where some procedures may not require prior authorization compared to an outpatient hospital setting.

ContextUsed in site-of-service notes indicating PA may be waived when services are performed at these participating ambulatory locations.

ActionConfirm whether the performing site is a participating ambulatory facility or ASC to determine PA applicability.

Site of service (SOS) - outpatient hospital

DefinitionSite of service (SOS) - outpatient hospital: Procedures categorized under the outpatient hospital site of service may be subject to prior authorization even when similar services at participating ambulatory sites are not.

ExampleSeveral CPT/HCPCS codes are explicitly listed under the outpatient hospital SOS with PA guidance.

ImplicationWhen services are scheduled in an outpatient hospital, follow the outpatient hospital PA rules in the policy.

Transplant carve-out

DefinitionTransplant carve-out: Inpatient transplant procedures are carved out to the state (i.e., state-specific processes apply for inpatient transplants).

Contact noteFor transplant and CAR T-cell therapy services, call the UnitedHealthcare Community and State Transplant Case Management team at 888-936-7246 or the notification number on the member's health plan ID card.

ScopeCAR T-cell therapies (e.g., Kymriah, Yescarta) are included in the transplant/CAR T-cell authorization guidance.

Transplant/CAR T-cell authorization contact

Contact instructionsFor transplant and CAR T-cell therapy services (including Kymriah and Yescarta), call the UnitedHealthcare Community and State Transplant Case Management team at 888-936-7246 or use the notification number on the member's health plan ID card.

When to useUse this contact for obtaining prior authorization and case management for transplant and CAR T-cell therapy services.

NoteInpatient transplant procedures may be handled per state carve-out rules; contact the transplant case management team for guidance.

38232 conditional PA

38232 conditional noteCode 38232 is annotated in the Transplants section with the statement '*Code 38232 will only require prior authorization for an' — indicating PA applies only in certain specified circumstances (source text truncated).

LocationListed among transplant-related CPT/HCPCS codes in the Musculoskeletal/Transplants section.

Provider actionRefer to the complete policy or contact case management to determine when PA is required for 38232.

Ventricular assist services (VAD)

DefinitionVentricular assist services (VAD): A mechanical pump that takes over the function of the damaged ventricle; prior authorization required.

Authorization processProviders should call the notification number on the back of the member's health plan ID card and then fax the form provided by the nurse to Optum at 855-282-8929.

ContextVAD entries are in the Musculoskeletal/ventricular assist section indicating PA and specific contact/fax procedures.