Prior Auth Required

23550 - Open treatment of acromioclavicular 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 / ServiceOpen treatment of acromioclavicular Prior Authorization Required Medical Necessity No review needed for member age 18
Procedure / Service Description

including allograft when performed; documentation of medical necessity and - including allograft when performed; documentation of medical necessity and humeral and glenoid component procedure report. 23550 Open treatment of acromioclavicular Prior Authorization Required Medical Necessity No review needed for member age 18 dislocation, acute or chronic; 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.