Prior Auth Required

25109 - PR EXCISE 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 EXCISE NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 5/10/2021
Procedure / Service Description

NECESSITY - CART,WRIST JT SUPPORT MEDICAL NECESSITY 25109 PR EXCISE NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 5/10/2021 TENDON AND DOCUMENTS TO FOREARM/ 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.