Prior Auth Required

23680 - Open treatment of shoulder dislocation, 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 shoulder dislocation, 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 23680 Open treatment of shoulder dislocation, Prior Authorization Required Medical Necessity No review needed for member age 18 with surgical or anatomical neck fracture, and under. Submit recent history and includes internal fixation, when performed 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.