Prior Auth Required

0373T - physician or other qualified health care professional who is on site; with the assistance of two

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicephysician or other qualified health care professional who is on site; with the assistance of two
Procedure / Service Description

Optical coherence tomography of breast or axillary lymph node, excised tissue, each - Adaptive behavior treatment with protocol modification, each 15 minutes of technicians' time face-to-face with a patient, requiring the following components: administration by the 0373T physician or other qualified health care professional who is on site; with the assistance of two or more technicians; for a patient who exhibits destructive behavior; completion in an environment that is customized to the patient's behavior.

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.