Prior Auth Required

0243U - Required Not Required Not Required Not Required Not Required Not Required

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceRequired Not Required Not Required Not Required Not Required Not Required
Procedure / Service Description

HMO) - 0240U Required Required Required Required Required Required 0241U Required Required Required Required Required Required 0243U Required Not Required Not Required Not Required Not Required Not Required 0247U Required Not Required Required Required Not Required Not Required 0248U Required Required Required Required Required Required

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.