Prior Auth Required

92972 - Percutaneous transluminal coronary Possible Denial; Medical Records Investigative Documentation optional

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePercutaneous transluminal coronary Possible Denial; Medical Records Investigative Documentation optional
Procedure / Service Description

revascularization of chronic total occlusion, documentation of medical necessity. - antegrade and retrograde approaches 92972 Percutaneous transluminal coronary Possible Denial; Medical Records Investigative Documentation optional. lithotripsy (List separately in addition to Optional code for primary procedure)

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.