Prior Auth Required

31297 - 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

Services (IHS) facilities. No review - needed for member age 18 and under. 31297 Nasal/sinus endoscopy, surgical, with Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan dilation (eg, balloon dilation) sphenoid of Service of care, and documentation of medical sinus ostium 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.