Prior Auth Required
30462 - Removed codes and from requiring a PA as these
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceRemoved codes and from requiring a PA as these
Procedure / Service Description
allowance for gynecomastia surgery. - Added replacement codes 15771 and 15772 for code 19324. Removed codes 30460 and 30462 from requiring a PA as these are related to congenital anomaly cleft palate repair, which is not cosmetic in nature.
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.