Prior Auth Required

21195 - Required Required Required Required Required Required

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceRequired Required Required Required Required Required
Procedure / Service Description

HMO) - 21193 Required Required Required Required Required Required 21194 Required Required Required Required Required Required 21195 Required Required Required Required Required Required 21198 Required Required Required Required Required Required 21240 Not Required Required Not 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.