Prior Auth Required

23474 - Revision of total shoulder arthroplasty, 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 / ServiceRevision of total shoulder arthroplasty, Prior Authorization Required Medical Necessity Submit history and physical
Procedure / Service Description

including allograft when performed; documentation of medical necessity and - including allograft when performed; documentation of medical necessity and humeral or glenoid component procedure report. 23474 Revision of total shoulder arthroplasty, Prior Authorization Required Medical Necessity Submit history and physical, including allograft when performed; documentation of medical necessity and humeral and glenoid component 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.