Prior Auth Required

63272 - the hospital) are not or

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicethe hospital) are not or
Procedure / Service Description

services listed in the • Laminectomy - patient’s discharge from • Posterolateral patient’s discharge from 63252, 63265, 63267, 63270, the hospital) are not or 63272, 63275, 63277, 63280, included in the Carelon the hospital) are not Intertransverse 63285, 63287, 63290, 63300, MSK program. included in the Carelon Lumbar Fusion 63301, 63302, 63303, 63304,

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.