Prior Auth Required

62264 - Investigational Percutaneous lysis of epidural adhesions using solution injection

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceInvestigational Percutaneous lysis of epidural adhesions using solution injection
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 45 - Investigational 62264 Percutaneous lysis of epidural adhesions using solution injection Potential (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when

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.