Prior Auth Required

15771 - Grafting of autologous fat harvested by Possible Denial; Medical Records Cosmetic Submit history and physical

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceGrafting of autologous fat harvested by Possible Denial; Medical Records Cosmetic 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 15771 Grafting of autologous fat harvested by Possible Denial; Medical Records Cosmetic Submit history and physical, liposuction technique to trunk, breasts, Optional documentation of medical necessity and scalp, arms, and/or legs; 50 cc or less procedure report.

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.