Prior Auth Required
64629 - 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) - 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 67900 Required Not 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.