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.