Prior Auth Required

95957 - 96367 E0300 E0639 E1002 E1190 E1825 E2629 J0490 J2505 J9202 K0801 K0841 L0480 L1710 L2525

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service96367 E0300 E0639 E1002 E1190 E1825 E2629 J0490 J2505 J9202 K0801 K0841 L0480 L1710 L2525
Procedure / Service Description

Pre-Authorization List 2018 - 95951 E0266 E0618 E0984 E1110 E1815 E2508 J0132 J2357 J9155 K0606 K0838 L0456 L1686 L2134 95953 E0277 E0635 E0986 E1161 E1816 E2510 J0178 J2426 J9171 K0730 K0839 L0462 L1690 L2136 95957 E0296 E0636 E0988 E1180 E1818 E2627 J0180 J2469 J9201 K0800 K0840 L0464 L1700 L2350 96367 E0300 E0639 E1002 E1190 E1825 E2629 J0490 J2505 J9202 K0801 K0841 L0480 L1710 L2525 96413 E0301 E0640 E1003 E1195 E1830 J0583 J2562 J9206 K0802 K0842 L0482 L1720 L2627

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.