Prior Auth Required

14061 - emotional reasons, and from which no improvement in physiological function can be

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Serviceemotional reasons, and from which no improvement in physiological function can be
Procedure / Service Description

requested on a separate authorization request. ADDITIONAL CRITERIA WILL - Cosmetic or Reconstructive Surgery Surgical or other services for cosmetic purposes performed to repair or reshape a body 11450; 11451; 11462; 11463; 11470; 11471; 11920; 11921; 11922; 11950; 11951; structure for the improvement of the person’s appearance or for psychological or 11952; 11954; 11960; 11970; 14000; 14001; 14020; 14021; 14040; 14041; 14060; emotional reasons, and from which no improvement in physiological function can be 14061; 14301; 14302; 15775; 15776; 15777; 15780; 15781; 15782; 15783; 15786; expected, except as such surgery or services are required to be covered by law. 15787; 15788; 15789; 15792; 15793; 15819; 15820; 15821; 15822; 15823; 15824; 15825; 15826; 15828; 15829; 15830; 15832; 15833; 15834; 15835; 15836; 15837;

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.