Prior Auth Required

69090 - Ear piercing Non-covered Service Benefit Exception Considered non-covered unless

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceEar piercing Non-covered Service Benefit Exception Considered non-covered unless
Procedure / Service Description

documentation of medical necessity. - operative report if surgical) only for the date of service performed. 69090 Ear piercing Non-covered Service Benefit Exception Considered non-covered unless member's contract indicates coverage. 69300 Otoplasty, protruding ear, with or without Possible Denial; Medical Records Cosmetic Pre Operative Evaluation, History and

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.