Prior Auth Required

97151 - scoring/interpreting the assessment, and preparing the report/treatment plan

This procedure appears on the selected insurer prior authorization source.

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Procedure / Servicescoring/interpreting the assessment, and preparing the report/treatment plan
Procedure / Service Description

Behavior identification assessment, administered by a physician or other qualified health care - time face-to-face with patient and/or guardian(s)/caregiver(s) administering assessments and discussing findings and recommendations, and non-face-to-face analyzing past data, 97151 scoring/interpreting the assessment, and preparing the report/treatment plan Behavior identification-supporting assessment, administered by one technician under the direction of a physician or other qualified health care professional, face-to-face with 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.