Prior Auth Required

0874T - Removal of a peritoneal ascites pump Possible Denial; Medical Records Investigative Documentation optional

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceRemoval of a peritoneal ascites pump Possible Denial; Medical Records Investigative Documentation optional
Procedure / Service Description

catheter), including imaging and - catheter), including imaging and programming, when performed 0874T Removal of a peritoneal ascites pump Possible Denial; Medical Records Investigative Documentation optional. system, including implanted peritoneal Optional ascites pump and indwelling bladder and

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.