Prior Auth Required

1037T - 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

to 30 days; each additional 30 minutes (List - integration by a physician or other qualified health care professional 1037T Histotripsy (ie, non-thermal ablation via Possible Denial; Medical Records Investigative Documentation optional. acoustic energy delivery) of malignant Optional pancreatic tissue, 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.