Prior Auth Required
54115 - PR REMV AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 5/10/2021
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServicePR REMV AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 5/10/2021
Procedure / Service Description
>5CM NECESSITY - PLAQUE,GRAFT SUPPORT MEDICAL >5CM NECESSITY 54115 PR REMV AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 5/10/2021 FOR.BODY AND DOCUMENTS TO DEEP PENILE 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.