Prior Auth Required

90913 - for primary procedure)

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicefor primary procedure)
Procedure / Service Description

qualified health care professional contact with the patient (List separately in addition to code - manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health care professional contact with the patient (List separately in addition to code 90913 for primary procedure) Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, 91112 with interpretation and report

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.