Prior Auth Required

67904 - PR FIX LID AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 11/1/2021

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePR FIX LID AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 11/1/2021
Procedure / Service Description

Effective Date - Effective Date 67904 PR FIX LID AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 11/1/2021 PTOSIS,LEVAT AND DOCUMENTS TO R RENDERING PROVIDER: 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.