Prior Auth Required

63020 - Laminotomy (hemilaminectomy), with Prior Authorization Required Medical Necessity Including Site No review needed for: Virginia

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceLaminotomy (hemilaminectomy), with Prior Authorization Required Medical Necessity Including Site No review needed for: Virginia
Procedure / Service Description

Services (IHS) facilities. No review - needed for members under age 18. 63020 Laminotomy (hemilaminectomy), with Prior Authorization Required Medical Necessity Including Site No review needed for: Virginia decompression of nerve root(s), including of Service Mason/910565539. Submit recent history partial facetectomy, foraminotomy and/or and physical, plan of care, and

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.