Prior Auth Required

21172 - physiological function

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicephysiological function
Procedure / Service Description

A medical device w ithin the inner ear - improve physical appearance w ithout 17106 17107 17108 17999 significantly improving or restoring physiological function 21137 21138 21139 21172 21175 21179 21180 21181 21182 21183 21184 21230

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.