Prior Auth Required

23106 - Arthrotomy; sternoclavicular joint, with Prior Authorization Required Medical Necessity No review needed for member age 18

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceArthrotomy; sternoclavicular joint, with Prior Authorization Required Medical Necessity No review needed for member age 18
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 23106 Arthrotomy; sternoclavicular joint, with Prior Authorization Required Medical Necessity No review needed for member age 18 synovectomy, with or without biopsy and under. Submit recent history and physical, plan of care, and documentation

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.