Prior Auth Required

92004 - or

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceor
Procedure / Service Description

SERVICE DESCRIPTION APPLICABLE CODE(S) REIMBURSEMENT RATE - Routine Eye Exam, New or 100% Medicare allowable 92004 or 92014 Established Patient rate 100% Billed Charges (to

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.