Prior Auth Required

0376T - Removed from exclusions codes and as these are

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceRemoved from exclusions codes and as these are
Procedure / Service Description

Added Schocket Shunt to list of FDA- approved devices. - is non covered to the Exclusions section. Removed from exclusions codes 0376T and 0450T as these are payment related and are on the Adjunct and Non-Standard Technology Payment Policy.

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.