Prior Auth Required

63053 - Laminectomy, facetectomy, or Prior Authorization Required Medical Necessity Submit history and physical

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceLaminectomy, facetectomy, or Prior Authorization Required Medical Necessity Submit history and physical
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - medical service or supply. Code Description Plan Review Requirement Reviewed For Records Request 63053 Laminectomy, facetectomy, or Prior Authorization Required Medical Necessity Submit history and physical, foraminotomy (unilateral or bilateral with documentation of medical necessity and decompression of spinal cord, cauda procedure report.

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.