Prior Auth Required

22511 - The following services will now be 22513, 22514, 22515,

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceThe following services will now be 22513, 22514, 22515,
Procedure / Service Description

Expedited/urgent cases can be - Spinal fusion, decompression, 20999, 22100, 22101, kyphoplasty and vertebroplasty 22102, 22103, 22510, 22511, 22512, The following services will now be 22513, 22514, 22515, managed by Cohere Health®. 22526, 22527, 22532,

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.