Prior Auth Required

63301 - 0221T, 0222T, 0274T, 0275T, 0656T, 0657T, C1821, C2614, C9757, S2348,

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service0221T, 0222T, 0274T, 0275T, 0656T, 0657T, C1821, C2614, C9757, S2348,
Procedure / Service Description

Intradiscal Procedures (TIPs) NCD - 63265-63268, 63270-63273, 63275-63278, 63280-63283, 63285-63287, 63290 63295, 63300-63308, 0095T, 0098T, 0163T, 0164T, 0165T, 0202T, 0219T, 0220T, 0221T, 0222T, 0274T, 0275T, 0656T, 0657T, C1821, C2614, C9757, S2348, S2350, S2351

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.