Prior Auth Required

21296 - PR REVISN NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 6/1/2023

This procedure appears on the selected insurer prior authorization source.

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

EXTRAORAL NECESSITY - MUSCLE/BONE, SUPPORT MEDICAL EXTRAORAL NECESSITY 21296 PR REVISN NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 6/1/2023 JAW AND DOCUMENTS TO MUSCLE/BONE, 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.