Prior Auth Required

76496 - Unlisted fluoroscopic procedure (eg, Medical necessity review will be Medical Necessity Upon claims submission Medical

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceUnlisted fluoroscopic procedure (eg, Medical necessity review will be Medical Necessity Upon claims submission Medical
Procedure / Service Description

Authorization: History and Physical, - results of previous diagnostics procedure report. 76496 Unlisted fluoroscopic procedure (eg, Medical necessity review will be Medical Necessity Upon claims submission Medical diagnostic, interventional) performed upon claims submission necessity review will be performed. with supporting documentation. Submit documentation to describe the

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.