CPT 0654T
Diagnostic EGD or esophagoscopy (patients 59 and younger, includes site-of-service evaluation)
Humana · Commercial · ALL
Yes — Prior Auth Required
Documents Needed
- •Clinical notes
Clinical Criteria
Diagnostic EGD or esophagoscopy (patients 59 and younger, includes site-of-service evaluation)
Source
Found in: Humana Commercial Preauthorization and Notification List (July 2024)
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