Prior Auth Required

96170 - 1. Bill using CPT codes

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service1. Bill using CPT codes
Procedure / Service Description

HBAI Services - Specialized Integrated Service Billing HBAI Services: 1. Bill using CPT codes 96156-96171 2. Submit through the PCHP Provider Portal 3. Include appropriate ICD-10 diagnosis codes demonstrating medical necessity

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.