Prior Auth Required
58674 - Required Required Required Required Not Required Required
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceRequired Required Required Required Not Required Required
Procedure / Service Description
HMO) - 56620 Required Not Required Required Required Required Required 58580 Required Required Not Required Not Required Not Required Not Required 58674 Required Required Required Required Not Required Required 61715 Required Required Required Required Required Required 62263 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.