Prior Auth Required

54406 - Removal of all components of a multi- Non-covered Service Benefit Exception Considered non-covered unless

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceRemoval of all components of a multi- Non-covered Service Benefit Exception Considered non-covered unless
Procedure / Service Description

transition/affirmation surgery unless - transition/affirmation surgery unless otherwise specified by contract. 54406 Removal of all components of a multi- Non-covered Service Benefit Exception Considered non-covered unless component, inflatable penile prosthesis member's contract indicates coverage. without replacement of prosthesis

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.