Prior Auth Required

96921 - 96922 E0316 E0675 E1007 E1234 E2227 G0155 J0881 J2997 J9264 K0813 K0850 L0636 L1844 L3740

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service96922 E0316 E0675 E1007 E1234 E2227 G0155 J0881 J2997 J9264 K0813 K0850 L0636 L1844 L3740
Procedure / Service Description

Pre-Authorization List 2018 - 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 96921 E0304 E0670 E1006 E1233 E2120 G0153 J0637 J2796 J9263 K0808 K0849 L0631 L1833 L3730 96922 E0316 E0675 E1007 E1234 E2227 G0155 J0881 J2997 J9264 K0813 K0850 L0636 L1844 L3740 97110 E0371 E0692 E1008 E1235 E2310 G0156 J0885 J3315 J9299 K0814 K0851 L0637 L1845 L3765

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.