Prior Auth Required

3050F - Most recent LDL-C >=130 mg/dL

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceMost recent LDL-C >=130 mg/dL
Procedure / Service Description

HEDIS Measure CPT II Code Description - Cholesterol Mgmt. 3048F Most recent LDL-C <100 mg/dL 3049F Most recent LDL-C 100-129 mg/dL 3050F Most recent LDL-C >=130 mg/dL Controlling Blood Pressure 3074F Most recent systolic blood pressure <130 mmHg 3075F Most recent systolic blood pressure 130-139 mm Hg

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.