Prior Auth Required

01939 - PR ANES PERQ NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 1/1/2024

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePR ANES PERQ NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 1/1/2024
Procedure / Service Description

LMBR/SAC - SPI/SP NECESSITY LMBR/SAC 01939 PR ANES PERQ NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 1/1/2024 IMG DSTRJ PX AND DOCUMENTS TO NULYT AGT SUPPORT MEDICAL

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.