Prior Auth Required

63190 - Laminectomy with rhizotomy; more than 2 Prior Authorization Required Medical Necessity Including Site Submit Site of Service, History and

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceLaminectomy with rhizotomy; more than 2 Prior Authorization Required Medical Necessity Including Site Submit Site of Service, History and
Procedure / Service Description

Services (IHS) facilities. No review - needed for members under age 18. 63190 Laminectomy with rhizotomy; more than 2 Prior Authorization Required Medical Necessity Including Site Submit Site of Service, History and segments of Service Physical, prior back surgeries, including 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.