Prior Auth Required

15769 - Grafting of autologous soft tissue, fat by liposuction , , , , All

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceGrafting of autologous soft tissue, fat by liposuction , , , , All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Facial bones reduction 21209 All Fractional ablative laser fenestration of burn and traumatic scars 0479T, 0480T All Grafting of autologous soft tissue, fat by liposuction 15769, 15771, 15772, 15773, 15774 All Mastectomy, SubQ 19300, 19318 All Mastopexy 19316 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.