Prior Auth Required

17107 - PR DESTRUC NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 5/10/2021

This procedure appears on the selected insurer prior authorization source.

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

NECESSITY - <10SQ CM SUPPORT MEDICAL NECESSITY 17107 PR DESTRUC NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 5/10/2021 CUT/VASC 10- AND DOCUMENTS TO 50 SQ CM 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.