Prior Auth Required

24920 - PR AMPUTATN AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 6/1/2022

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePR AMPUTATN AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 6/1/2022
Procedure / Service Description

Effective Date - Effective Date 24920 PR AMPUTATN AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 6/1/2022 ARM,THRU AND DOCUMENTS TO HUMERUS,CIR EXCLUSIONS: AUTH REQUIRED HTTP://WWW.TMHP.COM/PAGE 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.