Prior Auth Required

00170 - Dental Anesthesia Benefits are available with prior authorization for hospital or ambulatory surgery center Facility ; Anesthesia

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceDental Anesthesia Benefits are available with prior authorization for hospital or ambulatory surgery center Facility ; Anesthesia
Procedure / Service Description

Prior Authorization List - 61550; 61552; 61556; 61557; 61558; 61559 Dental Anesthesia Benefits are available with prior authorization for hospital or ambulatory surgery center Facility 41899; Anesthesia 00170 services, including: anesthetics; for dental care furnished in the facility; if any of the following applies:

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.