Prior Auth Required

90472 - payment for procedure codes was also implemented

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Servicepayment for procedure codes was also implemented
Procedure / Service Description

Clinic/Facility Name Tax ID Title Name Phone Email - The VFC vaccine reimbursement rate is at $2.62 and an additional payment for procedure codes 90471-90474 was also implemented. Please submit your claims with the appropriate billing codes (90471-

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.