Prior Auth Required
21193 - 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) - 21183 Not Required Not Required Required Required Not Required Not Required 21184 Not Required Not Required Required Required Not Required Not Required 21193 Required Required Required Required Required Required 21194 Required Required Required Required Required Required 21195 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.