Prior Auth Required

3048F - Cholesterol Mgmt. Most recent LDL-C <100 mg/dL

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceCholesterol Mgmt. Most recent LDL-C <100 mg/dL
Procedure / Service Description

HEDIS Measure CPT II Code Description - 1159F Medication list documented in medical record 1160F Review of all meds by prescriber documented in record Cholesterol Mgmt. 3048F Most recent LDL-C <100 mg/dL 3049F Most recent LDL-C 100-129 mg/dL 3050F Most recent LDL-C >=130 mg/dL

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.