Prior Auth Required

44389 - Colonoscopy , , , , , , , , , , , , , , , Members ages 18–44 require authorization

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceColonoscopy , , , , , , , , , , , , , , , Members ages 18–44 require authorization
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Mammogram or Mammography G0279, 77061, 77062, 77063, 77065, 77066, 77067 Female members under age 40 (exception noted) Colonoscopy G0105, G0121, 44388–44392, 44394, 44401–44408, 45378, 45379, 45380, 45381, 45382, 45383, 45384, 45385, 45386, 45388, Members ages 18–44 require authorization 45389, 45390, 45391, 45392, 45393, 45398 Real-time quaking-induced conversion for prion detection 0035U 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.