Prior Auth Required

43262 - PR ERCP NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 12/1/2022

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServicePR ERCP NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 12/1/2022
Procedure / Service Description

IN OFFICE/OUTPATIENT SETTING - 43262 PR ERCP NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 12/1/2022 W/SPHINCTER AND DOCUMENTS TO OTOMY/PAPILL 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.