Prior Auth Required

22551 - 22554, 22556, 22558, 22590, 22595, 22600, 22610, 22612, 22630,

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service22554, 22556, 22558, 22590, 22595, 22600, 22610, 22612, 22630,
Procedure / Service Description

UMC APPROVAL DATE: 12/18/2024 - UMC APPROVAL DATE: 12/18/2024 Orthopedic surgeries 22100, 22101, 22102, 22110, 22112, 22114, 22206, 22207, 22210, 22212, 22214, 22220, 22222, 22224, 22532, 22533, 22548, 22551, 22554, 22556, 22558, 22590, 22595, 22600, 22610, 22612, 22630, 22633, 22800, 22802, 22804, 22808, 22810, 22812, 22818, 22819,

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.