Prior Auth Required

0474T - internal approach, into the supraciliary space

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Serviceinternal approach, into the supraciliary space
Procedure / Service Description

Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, - 0473T review and report by a qualified health care professional Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, 0474T internal approach, into the supraciliary space Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, 0481T including image guidance, harvesting and preparation, when performed

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.