Prior Auth Required

64628 - Required Required Required Required Required Required

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceRequired Required Required Required Required Required
Procedure / Service Description

HMO) - 64624 Required Required Required Required Required Required 64625 Required Required Required Required Required Required 64628 Required Required Required Required Required Required 64629 Required Required Required Required Required Required 64999 Required Required Not 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.