Prior Auth Required

26951 - direct closure

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicedirect closure
Procedure / Service Description

Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and - 26530 Arthroplasty, metacarpophalangeal joint; each joint Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with 26951 direct closure 27030 Arthrotomy, hip, with drainage (eg, infection) Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization)

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.