Prior Auth Required

29819 - Arthroscopy, shoulder, surgical; with Prior Authorization Required Medical Necessity 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 / ServiceArthroscopy, shoulder, surgical; with Prior Authorization Required Medical Necessity Submit recent history and physical, plan
Procedure / Service Description

Services (IHS) facilities. No review - needed for member age 18 and under. 29819 Arthroscopy, shoulder, surgical; with Prior Authorization Required Medical Necessity Submit recent history and physical, plan removal of loose body or foreign body 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.