Prior Auth Required
10040 - Acne (L70.0-L70.9) treatment that Acne extractions/ as an initial treatment
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceAcne (L70.0-L70.9) treatment that Acne extractions/ as an initial treatment
Procedure / Service Description
(cosmetic) (Indications to be supported by medical Authorization - dependent child that has resulted in a functional impairment. 10040, 17110, Acne (L70.0-L70.9) treatment that Acne extractions/10040 as an initial treatment Yes 17111 does not meet criteria in next column. for severe acne will be considered medically necessary for treatment of painful inflamed
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.