Prior Auth Required

14040 - 10 Sq Cm/<

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service10 Sq Cm/<
Procedure / Service Description

Code Description of Item or Service - 11954 Subq Injection, Filling Matl; > 10.0 Cc Adjacent Tissue Transfer, Forehead/Cheeks/Chin/Mouth/Neck/Axillae/Genitalia/Hands/Feet; 14040 10 Sq Cm/< Adjacent Tissue Transfer, 14041 Forehead/Cheeks/Chin/Mouth/Neck/Axillae/Genitalia/Hands/Feet;10.1-30.0sqcm

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.