Prior Auth Required

54360 - PR PENIS AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 1/1/2024

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePR PENIS AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 1/1/2024
Procedure / Service Description

Effective Date - Effective Date 54360 PR PENIS AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 1/1/2024 PLASTIC AND DOCUMENTS TO SURG,CORREC 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.