Prior Auth Required

80402 - CHG ACTH NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 2/1/2024

This procedure appears on the selected insurer prior authorization source.

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

NECESSITY - ADR INSUFF SUPPORT MEDICAL NECESSITY 80402 CHG ACTH NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 2/1/2024 STIM PANEL, 21 AND DOCUMENTS TO HYDROX DEF 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.