Prior Auth Required

17340 - Cryotherapy for acne All

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCryotherapy for acne All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Correction of lid retraction 67911 All Correction of lagophthalmos 67912 All Cryotherapy for acne 17340 All Dermabrasion 15780, 15781, 15782, 15783, 15786, 15787 All Dermal filler injection G0429 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.