Prior Auth Required

47999 - Unlisted procedure, biliary tract Medical necessity review will be Medical Necessity Review required at claims submission

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceUnlisted procedure, biliary tract Medical necessity review will be Medical Necessity Review required at claims submission
Procedure / Service Description

1 or more tumors, including imaging - operative report if surgical) only for the date of service performed. 47999 Unlisted procedure, biliary tract 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.