Prior Auth Required

0996T - Insertion and scleral fixation of a capsular Possible Denial; Medical Records Investigative Documentation optional

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceInsertion and scleral fixation of a capsular Possible Denial; Medical Records Investigative Documentation optional
Procedure / Service Description

balloon occlusion, imaging guidance, and - 0996 Patient Convenience Items - Late Non-covered Service Benefit Exception Considered non-covered unless Discharge Charge member's contract indicates coverage. 0996T Insertion and scleral fixation of a capsular Possible Denial; Medical Records Investigative Documentation optional. bag prosthesis containing an intraocular Optional lens prosthesis, with vitrectomy, including

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.