Prior Auth Required

0126T - Removed termed code and replaced with

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceRemoved termed code and replaced with
Procedure / Service Description

POLICY NAME: NON-COVERED TECHNOLOGIES - years of age with exceptions. Removed termed code 0126T and replaced with 93998. 11/11/20 Removed codes for the insertion of drug-eluting implant (0356T) into lacrimal canaliculus and the drug Dextenza (J1096).

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.