Prior Auth Required

0524T - LTAC Level – 120 Rehab Level 1 – 120

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceLTAC Level – 120 Rehab Level 1 – 120
Procedure / Service Description

Intradiscal Procedures (TIPs) NCD - 37500, 37700, 37718, 37722, 37735, 37760, 37761, 37765, 37766, 37780, 37785 0524T, S2202 LTAC Level – 120 Rehab Level 1 – 120 Rehab Level 2 – 129

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.