Prior Auth Required

54408 - Repair of component(s) 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 / ServiceRepair of component(s) of a multi- Non-covered Service Benefit Exception Considered non-covered unless
Procedure / Service Description

transition/affirmation surgery unless - component, inflatable penile prosthesis member's contract indicates coverage. without replacement of prosthesis 54408 Repair of component(s) of a multi- Non-covered Service Benefit Exception Considered non-covered unless component, inflatable penile prosthesis member's contract indicates coverage.

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.