Prior Auth Required

42975 - PR DISE DYN AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 2/1/2024

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServicePR DISE DYN AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 2/1/2024
Procedure / Service Description

NECESSITY - OND,12+ Y/O SUPPORT MEDICAL NECESSITY 42975 PR DISE DYN AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 2/1/2024 EVAL SLEEP AND DOCUMENTS TO DISORDERED EXCLUSIONS: AUTH REQUIRED PROPRIETARY DISCLAIMER 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.