Prior Auth Required

63030 - 63064, 63066, 63075-63078, 63081, 63082, 63085, 63086, 63087, 63088, 63090,

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service63064, 63066, 63075-63078, 63081, 63082, 63085, 63086, 63087, 63088, 63090,
Procedure / Service Description

Intradiscal Procedures (TIPs) NCD - Inpatient Hospital Services; 27279, 27280, 62287, 62380, 63001, 63003, 63005, 63011, 63012, 63015-63017 63020, 63030, 63035, 63040, 63042-63048, 63050, 63051, 63054, 63055-63057, 63064, 63066, 63075-63078, 63081, 63082, 63085, 63086, 63087, 63088, 63090, 63091, 63101, 63102, 63103

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.