Prior Auth Required
31299 - Unlisted procedure, accessory sinuses Medical necessity review will be Medical Necessity Review required at claims submission
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceUnlisted procedure, accessory sinuses Medical necessity review will be Medical Necessity Review required at claims submission
Procedure / Service Description
Services (IHS) facilities. No review - needed for member age 18 and under. 31299 Unlisted procedure, accessory sinuses Medical necessity review will be Medical Necessity Review required at claims submission; performed upon claims submission submit description of procedure with with supporting documentation. supporting documentation (including
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.