Prior Auth Required

83655 - mandate. It is important that every encounter is coded with the correct CPT code, ( – Blood lead test)

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicemandate. It is important that every encounter is coded with the correct CPT code, ( – Blood lead test)
Procedure / Service Description

Preventive Care and Policy 401-1506 – Immunization Services and Reimbursement. - Preventive Care and Policy 401-1506 – Immunization Services and Reimbursement. Providers should note that lead screening for children less than 6 years is a particular priority and state legal mandate. It is important that every encounter is coded with the correct CPT code, (83655 – Blood lead test) and submitted in a complete manner using the CMS 1500/UB 04 or 837 P/837 I to report confidential screening/billing to DHCS. Finally, providers are required to submit all blood lead screening test results to the

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.