Prior Auth Required

15776 - Punch graft for hair transplant; more than Non-covered Service Benefit Exception Submit records only when member's

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServicePunch graft for hair transplant; more than Non-covered Service Benefit Exception Submit records only when member's
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 15776 Punch graft for hair transplant; more than Non-covered Service Benefit Exception Submit records only when member's 15 punch grafts contract indicates coverage. Beginning 1/1/22 code will require review for WA

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.