Prior Auth Required
0404U - 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 / ServiceRequired Required Not Required Not Required Not Required Not Required
Procedure / Service Description
HMO) - 0399U Required Not Required Not Required Not Required Not Required Not Required 0402U Required Required Required Required Required Required 0404U Required Required Not Required Not Required Not Required Not Required 0406U Required Not Required Not Required Not Required Not Required Not Required 0407U Required Required Not Required Not Required Not Required Not 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.