Prior Auth Required

95165 - 9/1/2025 • Removed statement from Policy Considerations regarding as it is

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service9/1/2025 • Removed statement from Policy Considerations regarding as it is
Procedure / Service Description

1/1/2026 • Transitioned Allergy Testing & Treatment policy, 1370/20.000038 to - Lifetime HealthCare Companies policy template. 9/1/2025 • Removed statement from Policy Considerations regarding 95165 as it is now addressed in payment policy 1550/20.000227, Antigen Preparation for Allergy Immunotherapy.

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.