Prior Auth Required

63040 - Laminotomy (hemilaminectomy), with Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan

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 recent history and physical, plan
Procedure / Service Description

guidance, 1 interspace, lumbar (list - each additional interspace, cervical or No review needed for members under lumbar age 18. 63040 Laminotomy (hemilaminectomy), with Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan decompression of nerve root(s), including of Service of care, and documentation of medical partial facetectomy, foraminotomy and/or necessity including for site of service. Site

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.