Prior Auth Required

90792 - • The purpose of conducting a mental health assessment (CPT code , or ONLY)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service• The purpose of conducting a mental health assessment (CPT code , or ONLY)
Procedure / Service Description

The provider must be traveling for - The provider must be traveling for: • The purpose of conducting a mental health assessment (CPT code 90791, 90792 or H0031 ONLY) • For a child from birth through the age of five (up till their 6thbirthday) • For a session that is conducted in the child/family’s home or in a community setting (POS 03/ School;

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.