Prior Auth Required

27412 - Autologous chondrocyte implantation, knee Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceAutologous chondrocyte implantation, knee Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - operative report if surgical) only for the date of service performed. 27412 Autologous chondrocyte implantation, knee Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan of Service of care, and documentation of medical necessity including for site of service. Site

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.