Prior Auth Required

49591 - Repair of anterior abdominal hernia(s) (ie, Prior Authorization Required Medical Necessity Submit history and physical

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceRepair of anterior abdominal hernia(s) (ie, 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. 49591 Repair of anterior abdominal hernia(s) (ie, Prior Authorization Required Medical Necessity Submit history and physical, epigastric, incisional, ventral, umbilical, documentation of medical necessity. spigelian), any approach (ie, open,

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.