Prior Auth Required

0175T - Not Required Required Not Required Not Required Not Required Not Required

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceNot Required Required Not Required Not Required Not Required Not Required
Procedure / Service Description

HMO) - 0174T Not Required Required Required Required Required Required 0174U Required Required Required Required Required Required 0175T Not Required Required Not Required Not Required Not Required Not Required 0176U Required Required Required Required Required Required 0178U Required Required Required Required Required Required

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.