Prior Auth Required

31255 - Nasal/sinus endoscopy, surgical; with Prior Authorization Required Medical Necessity Including Site No review needed for member age 18

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceNasal/sinus endoscopy, surgical; with Prior Authorization Required Medical Necessity Including Site No review needed for member age 18
Procedure / Service Description

Services (IHS) facilities. No review - needed for member age 18 and under. 31255 Nasal/sinus endoscopy, surgical; with Prior Authorization Required Medical Necessity Including Site No review needed for member age 18 ethmoidectomy, total (anterior and of Service and under. Submit recent history and posterior) physical, plan of care, and documentation

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.