Prior Auth Required

93971 - CPT/HCPCS Codes # - # Continued on page 4

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceCPT/HCPCS Codes # - # Continued on page 4
Procedure / Service Description

Pre-Authorization List 2018 - Clover Pre-Authorization List 2018 CPT/HCPCS Codes #93971 - #L3967 Continued on page 4 93971 A0428 E0471 E0760 E1050 E1310 E2328 G0300 J1568 J9025 J9395 K0824 K0858 L0830 L2020

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.