Prior Auth Required

97156 - guardian(s)/caregiver(s), each 15 minutes

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceguardian(s)/caregiver(s), each 15 minutes
Procedure / Service Description

Family adaptive behavior treatment guidance, administered by physician or other qualified - Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (with or without the patient present), face-to-face with 97156 guardian(s)/caregiver(s), each 15 minutes Multiple-family group adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present), face-to-face with

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.