Prior Auth Required

01942 - kyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar or sacral

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Procedure / Servicekyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar or sacral
Procedure / Service Description

Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, - 01941 kyphoplasty, vertebroplasty) on the spine or spinal cord; cervical or thoracic Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, 01942 kyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar or sacral Arthrodesis, pre-sacral interbody technique, disc space preparation, discectomy, without 0195T instrumentation, with image guidance, includes bone graft when performed; L5-S1 interspace

Likely documents
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  • Submit clinical notes if requested by the plan
Next actions
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  • Use the insurer authorization workflow for this listed code.