Prior Auth Required

55877 - 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) - 54416 Required Not Required Not Required Not Required Required Required 55870 Not Required Not Required Not Required Not Required Required Required 55877 Required Required Required Required Required Required 55970 Required Required Required Required Required Required 55980 Required Required Not Required Required 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.