Prior Auth Required

11981 - Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceInsertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable)
Procedure / Service Description

each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) - 11960 Insertion of tissue expander(s) for other than breast, including subsequent expansion 11971 Removal of tissue expander without insertion of implant 11981 Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable) 11983 Removal with reinsertion, non-biodegradable drug delivery implant 14000 Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less

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.