Prior Auth Required

0991T - Cystourethroscopy, with low-energy Possible Denial; Medical Records Investigative Documentation optional

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceCystourethroscopy, with low-energy Possible Denial; Medical Records Investigative Documentation optional
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - 0991 Patient Convenience Items - Charges for Non-covered Service Benefit Exception Considered non-covered unless Cafeteria/Guest Trays member's contract indicates coverage. 0991T Cystourethroscopy, with low-energy Possible Denial; Medical Records Investigative Documentation optional. lithotripsy and acoustically actuated Optional microspheres, 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.