Prior Auth Required

42260 - PR REPAIR AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 10/1/2023

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServicePR REPAIR AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 10/1/2023
Procedure / Service Description

Effective Date - Effective Date 42260 PR REPAIR AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 10/1/2023 NOSE TO LIP AND DOCUMENTS TO FISTULA 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.