Prior Auth Required

17108 - Cosmetic Potential Destruction of cutaneous vascular proliferative lesions (eg, laser

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceCosmetic Potential Destruction of cutaneous vascular proliferative lesions (eg, laser
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 3 - technique); 10.0 to 50.0 sq cm Cosmetic Potential 17108 Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm

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.