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.