Prior Auth Required

88150 - 88152,88153, • HIV-infected women beginning in

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service88152,88153, • HIV-infected women beginning in
Procedure / Service Description

Oxygen therapy for headaches (e.g., Experimental, investigational, or - Pap Smears for members under 21 years of 88141,88142 Considered not medically necessary age 88143,88147 except in the following circumstances: 88148,88150 88152,88153, • HIV-infected women beginning in 88154, adolescence

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.