Prior Auth Required

15819 - expected, except as such surgery or services are required to be covered by law

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceexpected, except as such surgery or services are required to be covered by law
Procedure / Service Description

requested on a separate authorization request. ADDITIONAL CRITERIA WILL - 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; Excluded services include, but are not limited to – Port wine stains, Augmentation

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.