Prior Auth Required
21247 - With Autografts All
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceWith Autografts All
Procedure / Service Description
Service Category Benefit/Description Codes Requiring Authorization Member Program* - With Transosteal Bone Plate 21244 All Subperiosteal Implant 21245, 21246 All With Autografts 21247 All Endosteal Implant 21248, 21249 All Penile Implant Insertion 54400, 54401, 54405 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.