Prior Auth Required

42415 - 22551 27685 29895 33228 42440 47562 52601 58558 63048 66185 71270 73700 77432 78815 93880

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service22551 27685 29895 33228 42440 47562 52601 58558 63048 66185 71270 73700 77432 78815 93880
Procedure / Service Description

Pre-Authorization List 2018 - 21248 27486 29883 33217 37722 46255 52330 58552 63045 66180 70553 73221 77372 78811 93656 22513 27487 29887 33225 46260 52332 58554 63046 66183 71250 73222 77373 78812 93662 22514 27570 29893 33227 42415 46261 52500 58555 63047 66184 71260 73223 77412 78814 93701 22551 27685 29895 33228 42440 47562 52601 58558 63048 66185 71270 73700 77432 78815 93880 22552 27823 29897 33230 42826 49650 52630 58560 63056 66250 71275 73701 77435 78816 93886

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.