Prior Auth Required

11435 - https://www.medicare.gov/sites/default/files/2021-10/

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Servicehttps://www.medicare.gov/sites/default/files/2021-10/
Procedure / Service Description

You can also find more information in a Medicare fact sheet - called “Are You a Hospital Inpatient or Outpatient? If You Have Medicare – Ask!” This fact sheet is available on the Web at https://www.medicare.gov/sites/default/files/2021-10/11435- Inpatient-or-Outpatient.pdf or by calling 1-800-MEDICARE (1- 800-633-4227). TTY users call 1-877-486-2048. You can call

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.