Prior Auth Required
76120 - 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) - 81471 Required through Health Help Required through Health Help Required through Health Help Required through Health Help Required through Health Help Required through Health Help 81479 Required through Health Help Required through Health Help Required through Health Help Required through Health Help Required through Health Help Required through Health Help 76120 Required Required Required Required Required Required 76125 Required Required Required Required Required Required 81436 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.