Prior Auth Required

0613U - 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) - 0611U Required Required Required Required Required Required 0612U Required Required Required Required Required Required 0613U Required Required Required Required Required Required 0614T Required through Health Help Required through Health Help Not Required Required through Health Help Required through Health Help Required through Health Help 0695T Required through Health Help Required through Health Help Not Required Required through Health Help Required through Health Help Required through Health Help

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.