Prior Auth Required

28475 - PR CLOSED RX NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 5/10/2021

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServicePR CLOSED RX NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 5/10/2021
Procedure / Service Description

NECESSITY - FX SUPPORT MEDICAL NECESSITY 28475 PR CLOSED RX NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 5/10/2021 METATARSAL AND DOCUMENTS TO FX,MANIP 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.