Prior Auth Required

88104 - Cytopathology, fluids, washings or Possible Denial; Medical Records Investigative Documentation optional. Reviewed only

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceCytopathology, fluids, washings or Possible Denial; Medical Records Investigative Documentation optional. Reviewed only
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - 88099 Unlisted necropsy (autopsy) procedure Non-covered Service Benefit Exception Considered non-covered unless member's contract indicates coverage. 88104 Cytopathology, fluids, washings or Possible Denial; Medical Records Investigative Documentation optional. Reviewed only brushings, except cervical or vaginal; Optional when 88104, 88305, 88312 & 88361 are smears with interpretation billed together with Barrett’s Esophagus

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.