Prior Auth Required
81490 - Required 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 Required Not Required Not Required Not Required Not Required
Procedure / Service Description
HMO) - 76125 Required Required Required Required Required Required 81436 Required Required Required Required Required Required 81490 Required Required Not Required Not Required Not Required Not Required 81493 Required through Health Help Required through Health Help Required through Health Help Required through Health Help Required through Health Help Required through Health Help 81504 Required through Health Help Required through Health Help Required through Health Help Required through Health Help Required through Health Help Required through Health Help
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.