Prior Auth Required

1126F - Pain severity quantified, no pain present

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServicePain severity quantified, no pain present
Procedure / Service Description

HEDIS Measure CPT II Code Description - 0521F Plan of care to address pain documented 1125F Pain severity quantified, pain present 1126F Pain severity quantified, no pain present 1159F Medication list documented in medical record 1160F Review of all meds by prescriber documented in record

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.