Tecentriq Prior Authorization Resources

Find the right PA form for your patient's payer, get the ICD-10 codes you need, and download appeal templates — all in one place.

Last verified: May 16, 2026

California - Uniform Prior Authorization FormCalifornia · Updated May 16, 2026
Colorado - Uniform Prior Authorization FormColorado · Updated May 16, 2026
Illinois - Uniform Prior Authorization FormIllinois · Updated May 16, 2026
Indiana - Uniform Prior Authorization FormIndiana · Updated May 16, 2026
Louisiana - Uniform Prior Authorization FormLouisiana · Updated May 16, 2026
Minnesota - Uniform Prior Authorization FormMinnesota · Updated May 16, 2026

ICD-10 codes for Tecentriq Prior Authorizations

C34.90Unspecified part of unspecified lobe of unspecified lung
C34.80Overlapping lesion of unspecified parts of both lungs
C43.9Unspecified part of unspecified site of skin

Appeal Templates

If the payer denies coverage, these templates help you build a stronger appeal.
Coverage Authorization AppealsCoverage Authorization Appeals resource
Letter of Medical NecessityLetter of Medical Necessity resource
A peer-to-peer review with the payer's medical director can often resolve denials faster than a formal appeal.

Brand Resources

Pharmacy List Pharmacy List resource
How To Order TecentriqHow To Order Tecentriq resource
Billing & Coding Guide: Small Cell Lung Cancer (SCLC)Billing & Coding Guide: Small Cell Lung Cancer (SCLC) resource
Billing & Coding Guide: Non-small Cell Lung Cancer (NSCLC)Billing & Coding Guide: Non-small Cell Lung Cancer (NSCLC) resource
Billing & Coding Guide: Hepatocellular Carcinoma (HCC)Billing & Coding Guide: Hepatocellular Carcinoma (HCC) resource
Billing & Coding Guide: Malignant MelanomaBilling & Coding Guide: Malignant Melanoma resource
Billing & Coding Guide: Alveolar Soft Part Sarcoma (ASPS)Billing & Coding Guide: Alveolar Soft Part Sarcoma (ASPS) resource

Support for Getting Your Patient on Tecentriq

Check coverage & formulary statusVerify PA requirements for your patient's plan.Find savings programsCopay cards, patient assistance, and more.Check medication interactionsScreen prescriptions for harmful drug combinations.