Prior Auth Required

54401 - Required Not Required Not Required Not Required Required Required

This procedure appears on the selected insurer prior authorization source.

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

HMO) - 54231 Not Required Not Required Not Required Not Required Required Required 54400 Required Not Required Not Required Not Required Required Required 54401 Required Not Required Not Required Not Required Required Required 54405 Required Not Required Not Required Not Required Required Required 54406 Not 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.