Prior Auth Required

23472 - Arthroplasty, glenohumeral joint; total Prior Authorization Required Medical Necessity Submit history and physical

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceArthroplasty, glenohumeral joint; total Prior Authorization Required Medical Necessity Submit history and physical
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 23472 Arthroplasty, glenohumeral joint; total Prior Authorization Required Medical Necessity Submit history and physical, shoulder (glenoid and proximal humeral documentation of medical necessity and replacement (eg, total shoulder)) 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.