Prior Auth Required

0165T - Revision of total disc arthroplasty (artificial Prior Authorization Required Investigative Submit history and physical

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceRevision of total disc arthroplasty (artificial Prior Authorization Required Investigative Submit history and physical
Procedure / Service Description

interspace (List separately in addition to procedure report. - interspace (List separately in addition to procedure report. code for primary procedure 0165T Revision of total disc arthroplasty (artificial Prior Authorization Required Investigative Submit history and physical, disc),, anterior approach, lumbar, each documentation of medical necessity and additional interspace procedure report.

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.