Prior Auth Required

86999 - Unlisted transfusion medicine procedure 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 transfusion medicine procedure Medical necessity review will be Medical Necessity Upon claims submission Medical
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - individual; each additional antigen system member's contract indicates coverage. 86999 Unlisted transfusion medicine procedure Medical necessity review will be Medical Necessity Upon claims submission Medical 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.