Prior Auth Required

0804T - Required Not 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 Not Required Not Required Not Required Not Required Not Required
Procedure / Service Description

HMO) - 0802T Required Required Required Required Required Required 0803T Required Required Required Required Required Required 0804T Required Not 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.