Prior Auth Required

25107 - PR REPAIR 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 REPAIR NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 5/10/2021
Procedure / Service Description

SYNOVIUM NECESSITY - JT/REMV SUPPORT MEDICAL SYNOVIUM NECESSITY 25107 PR REPAIR NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 5/10/2021 TRIANGULAR AND DOCUMENTS TO CART,WRIST JT 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.