Prior Auth Required
0072T - Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceFocused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume
Procedure / Service Description
Code NAME/DESCRIPTION COMMENTS - 99602 Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour (List separately in addition to code for primary procedure) 0072T Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to 200 cc of tissue 0200T Percutaneous sacral augmentation (sacroplasty), unilateral injection(s), including the use of a balloon or
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.