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.