Prior Auth Required

26170 - PR EXCIS PALM 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 EXCIS PALM AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 6/1/2022
Procedure / Service Description

Effective Date - Effective Date 26170 PR EXCIS PALM AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 6/1/2022 TENDON AND DOCUMENTS TO FLEXOR, EACH 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.