Prior Auth Required

54415 - Removal of non-inflatable (semi-rigid) or 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 non-inflatable (semi-rigid) or Non-covered Service Benefit Exception Considered non-covered unless
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - session, including irrigation and debridement of infected tissue 54415 Removal of non-inflatable (semi-rigid) or Non-covered Service Benefit Exception Considered non-covered unless inflatable (self-contained) penile member's contract indicates coverage. prosthesis, without replacement of

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.