Prior Auth Required

77789 - CHG SURFACE NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 2/1/2024

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCHG SURFACE NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 2/1/2024
Procedure / Service Description

CHANNEL - PY,2-12 CHANNEL 77789 CHG SURFACE NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 2/1/2024 APPLIC LOW AND DOCUMENTS TO DOSE RATE EXCLUSIONS: MOBILE 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.