Prior Auth Required

15792 - * * * * *

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service* * * * *
Procedure / Service Description

Cosmetic, Plastic & Reconstructive Procedures [In Any Setting] - 11900 15775 15781 15788 15793 15822 15825 15829 15834 15837 15847 15878 19300* 19324* 19330* 19350* 30400 30430 30460 67906 11901 15776 15782 15789 15820 15823 15826 15832 15835 15838 15876 15879 19316* 19325* 19340* 19355* 30410 30435 30462 67908 11920* 15780 15783 15792 15821 15824 15828 15833 15836 15839 15877 17380 19318* 19328* 19342* 19396* 30420 30450 67904 69300 *PA required, except with breast CA Dx. ICD10 codes: C50.011 C50.012, C50.019 C50.021 C50.022 C50.029 C50.111 C50.112 C50.119 C50.121 C50.122 C50.129 C50.211 C50.212 C50.219 C50.221 C50.222 C50.229 C50.311 C50.312

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.