Prior Auth Required

39455 - database/view/lcd.aspx?lcdid= &ver=4&keyword=sacroiliac&keywordType=starts&areaId

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Servicedatabase/view/lcd.aspx?lcdid= &ver=4&keyword=sacroiliac&keywordType=starts&areaId
Procedure / Service Description

Injections and Procedures (L39455), effective 3/19/2023, https://www.cms.gov/medicare- - Injections and Procedures (L39455), effective 3/19/2023, https://www.cms.gov/medicare- coverage- database/view/lcd.aspx?lcdid=39455&ver=4&keyword=sacroiliac&keywordType=starts&areaId =s65&docType=NCA,CAL,NCD,MEDCAC,TA,MCD,6,3,5,1,F,P&contractOption=all&sortBy=rel evance&bc=1

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.