Prior Auth Required

64454 - Required Not Required Not Required Not Required Not Required Not Required

This procedure appears on the selected insurer prior authorization source.

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

HMO) - 63664 Required Required Required Required Required Required 63685 Required Required Required Required Required Required 64454 Required Not Required Not Required Not Required Not Required Not Required 64555 Required Required Not Required Required Required Required 64567 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.