Prior Auth Required

42205 - PR RECONST NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 6/1/2023

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServicePR RECONST NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 6/1/2023
Procedure / Service Description

HARD NECESSITY - PALATE,SOFT/ SUPPORT MEDICAL HARD NECESSITY 42205 PR RECONST NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 6/1/2023 CLEFT AND DOCUMENTS TO PALATE,CLOS 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.