Prior Auth Required

31242 - 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) - 30468 Required Required Not Required Required Required Required 30469 Required Required Required Required Required Required 31242 Required Required Required Required Required Required 31243 Required Required Required Required Required Required 31627 Required Not Required Not Required Required Not Required Not 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.