Prior Auth Required

54112 - PR EXCIS NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 11/1/2022

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServicePR EXCIS NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 11/1/2022
Procedure / Service Description

<5CM NECESSITY - PLAQUE,GRAFT SUPPORT MEDICAL <5CM NECESSITY 54112 PR EXCIS NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 11/1/2022 PENILE AND DOCUMENTS TO PLAQUE,GRAFT 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.