Prior Auth Required

26440 - PR TENOLYSIS, 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 TENOLYSIS, AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 6/1/2022
Procedure / Service Description

Effective Date - Effective Date 26440 PR TENOLYSIS, AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 6/1/2022 FLEX AND DOCUMENTS TO TENDON,PALM/ 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.