Prior Auth Required

96413 - 96521 E0302 E0651 E1004 E1230 E1840 G0151 J0585 J2778 J9217 K0806 K0843 L0484 L1730 L2628

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service96521 E0302 E0651 E1004 E1230 E1840 G0151 J0585 J2778 J9217 K0806 K0843 L0484 L1730 L2628
Procedure / Service Description

Pre-Authorization List 2018 - 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 96521 E0302 E0651 E1004 E1230 E1840 G0151 J0585 J2778 J9217 K0806 K0843 L0484 L1730 L2628 96920 E0303 E0652 E1005 E1232 E1841 G0152 J0587 J2785 J9228 K0807 K0848 L0486 L1755 L3674

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.