Prior Auth Required

21110 - Elective Surgeries Authorizations are granted for the procedure if the procedure requires inpatient

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceElective Surgeries Authorizations are granted for the procedure if the procedure requires inpatient
Procedure / Service Description

EEG - Enhanced External Counterpulsation Requires prior authorization. G0166; Elective Surgeries Authorizations are granted for the procedure if the procedure requires inpatient 21010; 21050; 21060; 21070; 21073; 21110; 21240; 21242; 21243; 21244; 21248; admission, the hospital must notify Together with CCHP of the admission according to 21249; 22206; 22207; 22208; 22210; 22212; 22214; 22216; 22220; 22222; 22224; the Inpatient Admission process. If the procedure is performed as an outpatient, the 22226; 22532; 22533; 22534; 22548; 22551; 22552; 22554; 22556;

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.