Prior Auth Required

96574 - Debridement + Photodynamic Therapy (per day) All

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceDebridement + Photodynamic Therapy (per day) All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - IORT applicator placement (add-on) 19294 All Photodynamic Therapy – external light (per day) 96573 All Debridement + Photodynamic Therapy (per day) 96574 All Generator, neurostimulator (transvenous) C1823 All Transapical Mitral Repair (artificial chordae) 0543T 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.