Prior Auth Required

31242 - Surgical nasal/sinus Excludes diagnostic

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceSurgical nasal/sinus Excludes diagnostic
Procedure / Service Description

Category Subcategory/notes Codes and comments - 93151, 93152, 93153, C9727 Surgical nasal/sinus Excludes diagnostic 31237, 31240, 31242, endoscopic procedures and nasal/sinus endoscopies 31243, 31253, 31254, balloon sinus ostial dilation 31255, 31256, 31257,

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.