Prior Auth Required

96904 - melanoma

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicemelanoma
Procedure / Service Description

Whole body integumentary photography, for monitoring of high risk patients with dysplastic - Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of 96904 melanoma Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image 96931 acquisition and interpretation and report, first lesion

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.