Prior Auth Required

0626T - 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) - 0624T Required Required Required Required Required Required 0625T Required Required Required Required Required Required 0626T Required Required Required Required Required Required 0627T Required Required Required Required Required Required 0628T 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.