Prior Auth Required
29825 - Arthroscopy, shoulder, surgical; with lysis Prior Authorization Required Medical Necessity Submit recent history and physical, plan
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceArthroscopy, shoulder, surgical; with lysis 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. 29825 Arthroscopy, shoulder, surgical; with lysis Prior Authorization Required Medical Necessity Submit recent history and physical, plan and resection of adhesions, with or without of care, and documentation of medical manipulation 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.