Prior Auth Required

0172A - ADM SARSCV2 NO AUTHORIZATION REQUIRED CLINICAL INFORMATION S, SK, C, 1/1/2024

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceADM SARSCV2 NO AUTHORIZATION REQUIRED CLINICAL INFORMATION S, SK, C, 1/1/2024
Procedure / Service Description

EXCLUSIONS: FQHC, RHC - 0172A ADM SARSCV2 NO AUTHORIZATION REQUIRED CLINICAL INFORMATION S, SK, C, 1/1/2024 BVL AND DOCUMENTS TO CP 3MCG/0.2ML 2 AGE: NO AUTH IS REQUIRED FOR SUPPORT MEDICAL

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.