Prior Auth Required

31243 - endoscopic procedures and nasal/sinus endoscopies

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceendoscopic procedures and nasal/sinus endoscopies
Procedure / Service Description

Category Subcategory/notes Codes and comments - 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, 31259, 31267, 31276,

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.