Prior Auth Required

29875 - Arthroscopy, knee, surgical; synovectomy, 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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Prior authorizationPrior Auth Required
Procedure / ServiceArthroscopy, knee, surgical; synovectomy, Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan
Procedure / Service Description

Services (IHS) facilities. No review - needed for member age 18 and under. 29875 Arthroscopy, knee, surgical; synovectomy, Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan limited (eg, plica or shelf resection) of Service of care, and documentation of medical (separate procedure) 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.