Prior Auth Required

20938 - primary procedure)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceprimary procedure)
Procedure / Service Description

tricortical (through separate skin or fascial incision) (List separately in addition to code for - Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or fascial incision) (List separately in addition to code for 20938 primary procedure) Bone marrow aspiration for bone grafting, spine surgery only, through separate skin or fascial 20939 incision (List separately in addition to code for primary procedure)

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.