Does M97.11XA require prior authorization?

Question

Accepted Answer

No, M97.11XA does not require prior authorization (medium confidence). Covered without prior authorization by at least one policy, though another does not cover it.

`M97.11XA`, Periprosthetic fracture around internal prosthetic right knee joint, initial encounter

Prior Authorization

Documentation Required

Key Coverage Criteria

19 Active Policies

Related Codes

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M97.11XA, Periprosthetic fracture around internal prosthetic right knee joint, initial encounter