Prior Auth Required

14040 - PR ADJ TISS NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 6/1/2023

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePR ADJ TISS NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 6/1/2023
Procedure / Service Description

10.1-30 NECESSITY - SCALP,EXTREM SUPPORT MEDICAL 10.1-30 NECESSITY 14040 PR ADJ TISS NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 6/1/2023 XFER AND DOCUMENTS TO HEAD,FAC,HAN 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.