Prior Auth Required

31259 - Nasal/sinus endoscopy, surgical with 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 / ServiceNasal/sinus endoscopy, surgical with Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - medical service or supply. Code Description Plan Review Requirement Reviewed For Records Request 31259 Nasal/sinus endoscopy, surgical with Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan ethmoidectomy; total (anterior and of Service of care, and documentation of medical posterior), including sphenoidotomy, with 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.