Prior Auth Required

43250 - PR EGD FLEX NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 12/1/2022

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServicePR EGD FLEX NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 12/1/2022
Procedure / Service Description

<30 MM DIAM IN OFFICE/OUTPATIENT SETTING - 43250 PR EGD FLEX NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 12/1/2022 REMOVAL AND DOCUMENTS TO LESION(S) BY PLACE OF SERVICE: PRIOR AUTH 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.