Prior Auth Required

0474T - • CyPass microstent ( , )

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service• CyPass microstent ( , )
Procedure / Service Description

The following procedures are considered experimental and/or investigational - The following procedures are considered experimental and/or investigational: • CyPass microstent (0253T, 0474T)

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.