Prior Auth Required

56195 - details.aspx?articleId= &ver=31&Cntrctr=297&ContrVer=1&CntrctrSelected=297*1&Do

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Servicedetails.aspx?articleId= &ver=31&Cntrctr=297&ContrVer=1&CntrctrSelected=297*1&Do
Procedure / Service Description

POLICY NAME: NON-COVERED TECHNOLOGIES - 14. CMS Local Coverage Article: Billing and Coding: Category III CPT® Codes (A56195), https://www.cms.gov/medicare-coverage-database/details/article- details.aspx?articleId=56195&ver=31&Cntrctr=297&ContrVer=1&CntrctrSelected=297*1&Do cType=Active&bc=AAABAAIAAAAA& Platelet Rich Plasma (PRP):

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.