Prior Auth Required

20938 - Procedures, Spine Procedures, Spine Carelon for these

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceProcedures, Spine Procedures, Spine Carelon for these
Procedure / Service Description

patient’s discharge from Procedures - 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, services: 22216, 22220, 22222, 22224,

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.