Prior Auth Required

38228 - Chimeric antigen receptor t-cell (car-t) Prior Authorization Required Medical Necessity Submit history and physical

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceChimeric antigen receptor t-cell (car-t) Prior Authorization Required Medical Necessity Submit history and physical
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - operative report if surgical) only for the date of service performed. 38228 Chimeric antigen receptor t-cell (car-t) Prior Authorization Required Medical Necessity Submit history and physical, therapy; car-t cell administration, documentation of medical necessity. autologous

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.