Prior Auth Required

0658T - score

This procedure appears on the selected insurer prior authorization source.

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Procedure / Servicescore
Procedure / Service Description

Transperineal focal laser ablation of malignant prostate tissue, including transrectal imaging - 0657T Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk 0658T score Transcatheter intracoronary infusion of supersaturated oxygen in conjunction with percutaneous coronary revascularization during acute myocardial infarction, including

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.