Prior Auth Required

38230 - 4/2020 The following codes were removed: ; ; ; ; . Effective

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service4/2020 The following codes were removed: ; ; ; ; . Effective
Procedure / Service Description

does not require prior authorization. Effective 5/1/2020. - Spray (Spravato) and Intravenous Ketamine for Treatment-Resistant Depression. Effective 4/1/2020. 4/2020 The following codes were removed: 38205; 38206; 38230; 38232; S2140. Effective 4/1/2020. 2/2020 New document #072 issued. Effective 2/1/2020.

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.