Prior Auth Required

42145 - Palatopharyngoplasty (eg, Prior Authorization Required Medical Necessity Including Site Submit Site of Service, history and

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServicePalatopharyngoplasty (eg, Prior Authorization Required Medical Necessity Including Site Submit Site of Service, history and
Procedure / Service Description

suture technique documentation of medical necessity and - operative report if surgical) only for the date of service performed. 42145 Palatopharyngoplasty (eg, Prior Authorization Required Medical Necessity Including Site Submit Site of Service, history and uvulopalatopharyngoplasty, of Service physical, including sleep study results, uvulopharyngoplasty) results of CPAP trial. No review needed

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.