Prior Auth Required

63685 - 19340 22853 29824 31267 33270 43247 49659 55866 64555 67903 72148 74174 78472 93306

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service19340 22853 29824 31267 33270 43247 49659 55866 64555 67903 72148 74174 78472 93306
Procedure / Service Description

Pre-Authorization List 2018 - 15823 22630 29822 31255 33263 43244 49656 54410 58661 63664 67039 72146 73723 78452 91110 19318 22633 29823 31256 33264 43246 49657 54416 58662 63685 67900 72147 74170 78454 92928 19340 22853 29824 31267 33270 43247 49659 55866 64555 67903 72148 74174 78472 93306 19342 22854 29825 31276 33282 43259 49999 56620 60220 64590 67908 72149 74175 78473 93451

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.