Prior Auth Required

17107 - Destruction, Cutaneous Vascular Proliferative Lesions; 10.0-50.0 Sq Cm

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Procedure / ServiceDestruction, Cutaneous Vascular Proliferative Lesions; 10.0-50.0 Sq Cm
Procedure / Service Description

Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, - 15879 Suction Assisted Lipectomy; Lower Extremity 17106 Destruction, Cutaneous Vascular Proliferative Lesions; < 10 Sq Cm 17107 Destruction, Cutaneous Vascular Proliferative Lesions; 10.0-50.0 Sq Cm 17108 Destruction, Cutaneous Vascular Proliferative Lesions; > 50.0 Sq Cm 17380 Electrolysis epilation, each 30 minutes

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