Prior Auth Required

27416 - Osteochondral autograft(s), knee, open Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceOsteochondral autograft(s), knee, open Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan
Procedure / Service Description

Services (IHS) facilities. - DOES NOT apply to Indian Health Services (IHS) facilities. 27416 Osteochondral autograft(s), knee, open Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan (eg, mosaicplasty) (includes harvesting of of Service of care, and documentation of medical autograft[s]) 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.