Prior Auth Required

0504U - Required Required Required Required Required Required

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceRequired Required Required Required Required Required
Procedure / Service Description

HMO) - 0500T Required Required Required Required Required Required 0502U Required Required Required Required Required Required 0504U Required Required Required Required Required Required 0505U Required Required Required Required Required Required 0515T 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.