Prior Auth Required

42975 - Drug induced sleep endoscopy (DISE) for sleep disordered breathing All

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceDrug induced sleep endoscopy (DISE) for sleep disordered breathing All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Osseointegrated skull implant – removal (magnetic transcutaneous) 69727 All Autograft suspension (incl. processing/components) C1832 All Drug induced sleep endoscopy (DISE) for sleep disordered breathing 42975 All Pain propensity RNA expression risk score (36 genes) 0289U All Oncology (thyroid) mRNA gene expression profiling 0287U 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.