Prior Auth Required
96377 - On-body Injector Application (example Neulasta on-body) All
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceOn-body Injector Application (example Neulasta on-body) All
Procedure / Service Description
Service Category Benefit/Description Codes Requiring Authorization Member Program* - Laparoscopic Ablation of Uterine Fibroid 58674 All Fluorescein/ICG Angiography 92242 All On-body Injector Application (example Neulasta on-body) 96377 All Fractional ablative laser fenestration of scars (infants/children) 0479T, 0480T All (infants/children) Cystourethroscopy w/drug delivery for urethral stricture 52284 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.