Prior Auth Required
21743 - Required Required Required Not Required Required Not Required
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceRequired Required Required Not Required Required Not Required
Procedure / Service Description
HMO) - 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 22836 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.