Prior Auth Required

97530 - improve functional performance), each 15 minutes

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Serviceimprove functional performance), each 15 minutes
Procedure / Service Description

Group adaptive behavior treatment with protocol modification, administered by physician or - 97168 Reevaluation of occupational therapy care/established plan of care requiring components Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to 97530 improve functional performance), each 15 minutes Sensory integrative techniques to enhance sensory processing and promote adaptive 97533 responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes

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.