Prior Auth Required

21490 - PR OPEN NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 5/10/2021

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServicePR OPEN NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 5/10/2021
Procedure / Service Description

DISLOC,COMP NECESSITY - DIBL SUPPORT MEDICAL DISLOC,COMP NECESSITY 21490 PR OPEN NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 5/10/2021 REDUCTN TEM- AND DOCUMENTS TO MANDIBLE 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.