Prior Auth Required

38531 - PR OPEN NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 10/1/2022

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePR OPEN NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 10/1/2022
Procedure / Service Description

MAMM - NODE,INTERN NECESSITY MAMM 38531 PR OPEN NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 10/1/2022 BIOPSY/EXCISI AND DOCUMENTS TO ON 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.