Prior Auth Required

42225 - Surgical - ENT RECONSTRUCT CLEFT PALATE

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceSurgical - ENT RECONSTRUCT CLEFT PALATE
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 35 - Surgical - ENT 42160 DESTRUC LESN PALATE/UVULA Surgical - ENT 42225 RECONSTRUCT CLEFT PALATE Surgical - ENT 42299 Unlisted procedure, palate, uvula [when specified as any of the

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.