Prior Auth Required

0786T - Insertion or replacement of percutaneous Prior Authorization Required Medical Necessity Submit history and physical

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceInsertion or replacement of percutaneous Prior Authorization Required Medical Necessity Submit history and physical
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - medical service or supply. Code Description Plan Review Requirement Reviewed For Records Request 0786T Insertion or replacement of percutaneous Prior Authorization Required Medical Necessity Submit history and physical, electrode array, sacral, with integrated documentation of medical necessity. neurostimulator, including imaging

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.