Prior Auth Required

30420 - Minimally-invasive Surgical (MIS)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceMinimally-invasive Surgical (MIS)
Procedure / Service Description

Intradiscal Procedures (TIPs) NCD - Lumbar Decompression for Lumbar 28308, 28310, 28740, 28750, L8641 Spinal Stenosis LCD L36406 Minimally-invasive Surgical (MIS) 30400, 30410, 30420, 30430, 30435, 30450, 30460, 30462, 30468 Fusion of the Sacroiliac (SI) Joint LCD L33569 Percutaneous Vertebral 20999, 22100-22103, 22116, 22206-22208, 22210, 22212, 22214, 22216, 22222,

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.