Prior Auth Required

41120 - **Full classification criteria may be found at: https://acrjournals.onlinelibrary.wiley.com/doi/epdf/10.1002/art

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Service**Full classification criteria may be found at: https://acrjournals.onlinelibrary.wiley.com/doi/epdf/10.1002/art
Procedure / Service Description

Policy/Procedure Name: Rare Diseases Clinical Review Prior Authorization (CRPA) Control Number: 1350/20.000590 - can be confident in grouping cases into the appropriate immunostaining result category. **Full classification criteria may be found at: https://acrjournals.onlinelibrary.wiley.com/doi/epdf/10.1002/art.41120 Source: Wallace ZS, Naden RP, Chari S, et al. The 2019 ACR/EULAR Classification Criteria for IgG4-Related Disease. Arthritis Rheumatol.

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.