Prior Auth Required

25565 - PR CLOSED RX NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 2/1/2022

This procedure appears on the selected insurer prior authorization source.

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

NECESSITY - SHAFT FX SUPPORT MEDICAL NECESSITY 25565 PR CLOSED RX NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 2/1/2022 RAD/ULNA AND DOCUMENTS TO SHAFT 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.