Prior Auth Required

36466 - Injection of non-compounded foam Prior Authorization Required Medical Necessity Submit pre-Operative Evaluation, History

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceInjection of non-compounded foam Prior Authorization Required Medical Necessity Submit pre-Operative Evaluation, History
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 36466 Injection of non-compounded foam Prior Authorization Required Medical Necessity Submit pre-Operative Evaluation, History sclerosant with ultrasound compression and Physical including results of Doppler maneuvers to guide dispersion of the studies, and Operative report.

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.