Prior Auth Required

11976 - PR REMOVAL NO AUTHORIZATION REQUIRED CLINICAL INFORMATION S, SK C, CP 5/10/2021

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePR REMOVAL NO AUTHORIZATION REQUIRED CLINICAL INFORMATION S, SK C, CP 5/10/2021
Procedure / Service Description

NECESSITY - DEFCT >10CC SUPPORT MEDICAL NECESSITY 11976 PR REMOVAL NO AUTHORIZATION REQUIRED CLINICAL INFORMATION S, SK C, CP 5/10/2021 OF AND DOCUMENTS TO CONTRACEPTI PLACE OF SERVICE: PRIOR AUTH 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.