Prior Auth Required

21122 - Not Required Not Required Not Required Required Required Required

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceNot Required Not Required Not Required Required Required Required
Procedure / Service Description

HMO) - 21120 Not Required Not Required Not Required Not Required Required Required 21121 Not Required Not Required Required Required Required Required 21122 Not Required Not Required Not Required Required Required Required 21123 Not Required Not Required Required Required Not Required Not Required 21125 Not Required Not Required Required Not 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.