Prior Auth Required

53430 - Urethroplasty, reconstruction of female Prior Authorization Required Medical Necessity Beginning 1/1/22 will only require review

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceUrethroplasty, reconstruction of female Prior Authorization Required Medical Necessity Beginning 1/1/22 will only require review
Procedure / Service Description

resection of prostate, including documentation of medical necessity. - urethrotomy, when performed 53430 Urethroplasty, reconstruction of female Prior Authorization Required Medical Necessity Beginning 1/1/22 will only require review urethra for WA members when submitted for gender transition/affirmation surgery.

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.