Prior Auth Required

15004 - Cntrctr=236&name=CGS+Administrators%2c+LLC+( %2c+HHH+MAC)&s=45&Doc

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCntrctr=236&name=CGS+Administrators%2c+LLC+( %2c+HHH+MAC)&s=45&Doc
Procedure / Service Description

30T - database/details/lcd- details.aspx?LCDId=32016&ContrId=236&ver=13&ContrVer=2&CntrctrSelected=236*2& Cntrctr=236&name=CGS+Administrators%2c+LLC+(15004%2c+HHH+MAC)&s=45&Doc Type=All&bc=AggAAAIAAAAAAA%3d%3d& 30T

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.