Prior Auth Required

0686T - Histotripsy (ie, non-thermal ablation via Possible Denial; Medical Records Investigative Documentation optional

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceHistotripsy (ie, non-thermal ablation via Possible Denial; Medical Records Investigative Documentation optional
Procedure / Service Description

surgery, procedure, or test with analysis, - system for augmentation of cardiac function 0686T Histotripsy (ie, non-thermal ablation via Possible Denial; Medical Records Investigative Documentation optional. acoustic energy delivery) of malignant Optional hepatocellular tissue, including image

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.