Prior Auth Required

97158 - other qualified health care professional, face-to-face with multiple patients, each 15 minutes

This procedure appears on the selected insurer prior authorization source.

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Procedure / Serviceother qualified health care professional, face-to-face with multiple patients, each 15 minutes
Procedure / Service Description

Group adaptive behavior treatment with protocol modification, administered by physician or - 97157 multiple sets of guardians/caregivers, each 15 minutes Group adaptive behavior treatment with protocol modification, administered by physician or 97158 other qualified health care professional, face-to-face with multiple patients, each 15 minutes 97161 Physical therapy evaluation; low complexity, requiring components 97162 Physical therapy evaluation; moderate complexity requiring components

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.