Prior Auth Required

63052 - Laminectomy, facetectomy, or Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceLaminectomy, facetectomy, or Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan
Procedure / Service Description

segmental fixation devices [eg, wire, Services (IHS) facilities. - suture, mini-plates], when performed) 63052 Laminectomy, facetectomy, or Prior Authorization Required Medical Necessity Including Site Submit recent history and physical, plan foraminotomy (unilateral or bilateral with of Service of care, and documentation of medical decompression of spinal cord, cauda 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.