Prior Auth Required

61737 - PR LITT LES AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 3/1/2022

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServicePR LITT LES AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 3/1/2022
Procedure / Service Description

SECONDARY PAYOR - 61737 PR LITT LES AUTHORIZATION REQUIRED TMPPM CLINICAL INFORMATION C, S, SK CP 3/1/2022 ICR MLT AND DOCUMENTS TO TRAJECTORIES 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.