Prior Auth Required

23105 - Arthrotomy; glenohumeral joint, with Prior Authorization Required Medical Necessity Submit history and physical, with

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceArthrotomy; glenohumeral joint, with Prior Authorization Required Medical Necessity Submit history and physical, with
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - operative report if surgical) only for the date of service performed. 23105 Arthrotomy; glenohumeral joint, with Prior Authorization Required Medical Necessity Submit history and physical, with synovectomy, with or without biopsy documentataion of medical necessity. Individuals aged 18 and under are not

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.