Prior Auth Required

53854 - Required Required Not Required Not Required Required Not Required

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceRequired Required Not Required Not Required Required Not Required
Procedure / Service Description

HMO) - 52443 Required Required Required Required Required Required 52597 Required Required Required Required Required Required 53854 Required Required Not Required Not Required Required Not Required 54231 Not Required Not Required Not Required Not Required Required Required 54400 Required Not Required Not Required Not 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.