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.