Prior Auth Required

63075 - 63091, 63101, 63102, 63103

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service63091, 63101, 63102, 63103
Procedure / Service Description

Intradiscal Procedures (TIPs) NCD - 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.