Prior Auth Required

30117 - 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) - 22870 Required Required Required Required Required Required 27278 Required Required Required Required Required Required 30117 Required Required Required Required Required Required 30400 Required Required Required Not Required Required Required 30410 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.