Prior Auth Required

46999 - Unlisted procedure, anus Medical necessity review will be Medical Necessity Review required at claims submission

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceUnlisted procedure, anus Medical necessity review will be Medical Necessity Review required at claims submission
Procedure / Service Description

sphincter documentation of medical necessity. - 46505 Chemodenervation of internal anal Prior Authorization Required Medical Necessity Submit history and physical, sphincter documentation of medical necessity. 46999 Unlisted procedure, anus 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.