Prior Auth Required

21243 - and POS , , : Prior

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceand POS , , : Prior
Procedure / Service Description

Authorization Manager - 035 Temporomandibular Joint Disorder Commercial HMO 21010, 21050, 21060, 21240, 21242, and POS 21243, 29800, 29804: Prior Complete Prior Authorization Request authorization is required; in effect. Form using Authorization Manager

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.