Prior Auth Required

67904 - Repair and POS

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceRepair and POS
Procedure / Service Description

Request Form - 740 Blepharoplasty, Blepharoptosis Commercial HMO 15820, 15821, 15822, 15823, 67900, Repair and POS 67901, 67902, 67903, 67904, 67906, 67908: Prior authorization is Complete Prior Authorization Request required; in effect.

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.