Prior Auth Required
20936 - Musculoskeletal Musculoskeletal Required through , , , , NA NA
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceMusculoskeletal Musculoskeletal Required through , , , , NA NA
Procedure / Service Description
patient’s discharge from Procedures - included in the Carelon MSK program. Musculoskeletal Musculoskeletal Required through 20930, 20931, 20936, 20937, NA NA Procedures, Spine Procedures, Spine Carelon for these 20938, 20939, 22206, 22207, 22208, 22210, 22212, 22214,
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.