Prior Auth Required

54231 - Dynamic cavernosometry, including Non-covered Service Benefit Exception Considered non-covered unless

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceDynamic cavernosometry, including Non-covered Service Benefit Exception Considered non-covered unless
Procedure / Service Description

documentation of medical necessity, - documentation of medical necessity, operative report 54231 Dynamic cavernosometry, including Non-covered Service Benefit Exception Considered non-covered unless intracavernosal injection of vasoactive member's contract indicates coverage. drugs (eg, papaverine, phentolamine)

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.