Prior Auth Required

0163T - Surgical - Spine Revision including replacement of total disc arthroplasty (artificial

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceSurgical - Spine Revision including replacement of total disc arthroplasty (artificial
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 108 - sequence analysis panel (MLH1, MSH2, MSH6, PMS2) Surgical - Spine 0163T Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, lumbar (List

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.