Prior Auth Required

63030 - Laminotomy (hemilaminectomy), with Prior Authorization Required Medical Necessity Including Site Submit Site of Service, History and

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceLaminotomy (hemilaminectomy), with Prior Authorization Required Medical Necessity Including Site Submit Site of Service, History and
Procedure / Service Description

NOT apply to Indian Health Services - members under the age of 18. 63030 Laminotomy (hemilaminectomy), with Prior Authorization Required Medical Necessity Including Site Submit Site of Service, History and decompression of nerve root(s), including of Service Physical, prior back surgeries, including partial facetectomy, foraminotomy and/or minimally invasive, conservative

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.