Prior Auth Required

15773 - PR GRAFTING 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 GRAFTING NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 6/1/2023
Procedure / Service Description

ADDL 50 CC - FAT BY LIPO EA NECESSITY ADDL 50 CC 15773 PR GRAFTING NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 6/1/2023 OF AND DOCUMENTS TO AUTOLOGOUS 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.