Prior Auth Required

43285 - Not Required Not Required Required Not Required Not Required Not Required

This procedure appears on the selected insurer prior authorization source.

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

HMO) - 43210 Not Required Not Required Not Required Required Not Required Required 43284 Required Not Required Not Required Not Required Required Required 43285 Not Required Not Required Required Not Required Not Required Not Required 43290 Required Required Required Required Required Required 43291 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.