Prior Auth Required

49615 - 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

epigastric, incisional, ventral, umbilical, documentation of medical necessity. - when performed, total length of defect(s); less than 3 cm, reducible 49615 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.