Prior Auth Required

21742 - Required Required Required Not Required Not Required Not Required

This procedure appears on the selected insurer prior authorization source.

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

HMO) - 21282 Not Required Not Required Not Required Not Required Required Required 21740 Required Required Not Required Not Required Required Not Required 21742 Required Required Required Not Required Not Required Not Required 21743 Required Required Required Not Required Required Not Required 22505 Required Required Required Required Not 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.