Prior Auth Required

15773 - 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.

Prior authorizationPrior Auth Required
Procedure / ServiceGrafting of autologous fat harvested by Possible Denial; Medical Records Cosmetic Submit history and physical
Procedure / Service Description

50 cc injectate, or part thereof (list - separately in addition to code for primary procedure) 15773 Grafting of autologous fat harvested by Possible Denial; Medical Records Cosmetic Submit history and physical, liposuction technique to face, eyelids, Optional documentation of medical necessity and mouth, neck, ears, orbits, genitalia, hands, 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.