Prior Auth Required

89260 - Infertility Sperm isolation; simple prep (eg, sperm wash and swim-up) for

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceInfertility Sperm isolation; simple prep (eg, sperm wash and swim-up) for
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 94 - symptoms and disorders] Infertility 89260 Sperm isolation; simple prep (eg, sperm wash and swim-up) for insemination or diagnosis with semen analysis

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.