Prior Auth Required

23552 - 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

of medical necessity including for site of - of medical necessity including for site of service. 23552 Open treatment of acromioclavicular Prior Authorization Required Medical Necessity No review needed for member age 18 dislocation, acute or chronic; with fascial and under. Submit recent history and graft (includes obtaining graft) 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.