Prior Auth Required
21139 - 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) - 21137 Not Required Not Required Not Required Required Required Required 21138 Not Required Not Required Not Required Not Required Required Required 21139 Required Required Required Required Required Required 21142 Not Required Not Required Not Required Required Required Required 21143 Not Required Not 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.