Prior Auth Required

21180 - Not Required Not Required Required Not Required Required Required

This procedure appears on the selected insurer prior authorization source.

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

HMO) - 21175 Not Required Not Required Required Not Required Required Required 21179 Not Required Not Required Required Not Required Required Required 21180 Not Required Not Required Required Not Required Required Required 21181 Required Not Required Required Required Required Not Required 21182 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.