Prior Auth Required

25526 - OPEN RDL NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 2/1/2022

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceOPEN RDL NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 2/1/2022
Procedure / Service Description

DISLOCATE - RAD/ULN JT NECESSITY DISLOCATE 25526 OPEN RDL NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 2/1/2022 SHAFT FX AND DOCUMENTS TO OPEN RAD/ULN 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.