Prior Auth Required

37226 - PAD Yes Effective 9/1/2023

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServicePAD Yes Effective 9/1/2023
Procedure / Service Description

transluminal angioplasty (List separately in addition to code for primary procedure) effective 9.1.23 - includes angioplasty within the same vessel, when performed Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent PAD 37226 Yes Effective 9/1/2023 placement(s), includes angioplasty within the same vessel, when performed Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(s), unilateral; with transluminal stent

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.