Prior Auth Required

15773 - Cosmetic & Reconstructive Grfg autol fat lipo 25 cc/<

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCosmetic & Reconstructive Grfg autol fat lipo 25 cc/<
Procedure / Service Description

Code Mod Procedures & Services Description Rule Description - 15771 Cosmetic & Reconstructive Grfg autol fat lipo 50 cc/< 15772 Cosmetic & Reconstructive Grfg autol fat lipo ea addl 15773 Cosmetic & Reconstructive Grfg autol fat lipo 25 cc/< 15774 Cosmetic & Reconstructive Gfrg autol fat lipo ea addl 15820 Cosmetic & Reconstructive Revision of lower eyelid

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.