Prior Auth Required

31267 - 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. 31267 Nasal/sinus endoscopy, surgical, with Prior Authorization Required Medical Necessity Including Site No review needed for member age 18 maxillary antrostomy; with removal of of Service and under. Submit recent history and tissue from maxillary sinus 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.