Prior Auth Required

65767 - Corneal shape altering procedures , , , All

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceCorneal shape altering procedures , , , All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Posterior intrafacet implant(s) placement 0219T, 0221T, 0222T All Radiofrequency denervation/neurolysis – facet or SI joint (thoracic/SI require authorization) 64620, 64624, 64625, 64632, 64640, 64633, 64634 All Corneal shape altering procedures 65760, 65765, 65767, 65770 All Correction of surgically induced astigmatism 65772, 65775 All Rhinomanometry 92512 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.