Prior Auth Required

11980 - Subcutaneous hormone pellets , , All

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceSubcutaneous hormone pellets , , All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Transcatheter tricuspid valve annulus reconstruction 0545T All Biofeedback (behavioral health & medical conditions) 90912, 90913 All Subcutaneous hormone pellets 11980, J3490, S0189 All Transcatheter tricuspid valve repair – initial prosthesis 0569T All Transcatheter tricuspid valve repair – each additional prosthesis 0570T All

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.