Prior Auth Required

36374 - Cosmetic or Reconstructive Surgery

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCosmetic or Reconstructive Surgery
Procedure / Service Description

requiring prior authorization) - Durable Medical Equipment (always A9274; requiring prior authorization) Cosmetic or Reconstructive Surgery 36473; 36374 Genetic Testing 81413; 81414; 81439 Home Health G0493; G0494; G0495; G0496

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.