News
Ambetter from Absolute Total Care Prior Authorization Update
Date: 07/30/21
Ambetter from Absolute Total Care requires prior authorization as a condition of payment for many services. This effort requires us to ensure that our members receive only treatments that are medically necessary according to current standards of practice.
Effective October 1, 2021, prior authorization will be required for the services listed below.
Procedure Code | Procedure Description |
---|---|
54401 | INSRT PENILE PROSTH; INFLATABLE |
54405 | INSRT INFLATBL PENILE PROSTH W/PLCMT PUMP/CYLIND |
61885 | INCS & SUBQ PLCMT CRANIAL NEUROSTIM GEN/RECEIVER |
61886 | IMPLANT NEUROSTIM ARRAYS |
64568 | INC FOR VAGUS N ELECT IMPL |
69714 | IMPLANT TEMPLE BONE W/STIMUL |
77371 | SRS MULTISOURCE |
If you have any questions regarding this information, you may contact Provider Services at 1-833-270-5443 or contact your dedicated Provider Relations Specialist.