Prior Auth Required

0717T - incubation with cell dissociation enzymes, filtration, washing and concentration of ADRCs

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Serviceincubation with cell dissociation enzymes, filtration, washing and concentration of ADRCs
Procedure / Service Description

Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff - Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue harvesting, isolation and preparation of harvested cells, including 0717T incubation with cell dissociation enzymes, filtration, washing and concentration of ADRCs Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff 0718T tear; injection into supraspinatus tendon including ultrasound guidance, unilateral

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.