Prior Auth Required

20975 - Electrical stimulation to aid bone healing; Prior Authorization Required Medical Necessity History and Physical indicating location of

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceElectrical stimulation to aid bone healing; Prior Authorization Required Medical Necessity History and Physical indicating location of
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - documentation of adequacy of immobilization. 20975 Electrical stimulation to aid bone healing; Prior Authorization Required Medical Necessity History and Physical indicating location of invasive (operative) fracture, any member comorbidities. If request is for non union fracture, include

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.