90792 -  CBA approves one initial evaluation ( or ) per provider per course of treatment

form and fax it to CBA, along with clinical justification for the test. Please note that many policies exclude testing - form and fax it to CBA, along with clinical justification for the test. Please note that many policies exclude testing for the treatment of learning disabilities.  CBA approves one initial evaluation (90791 or 90792) per provider per course of treatment.  You should file subsequent visits with appropriate therapy and/or evaluation and management codes.  Precertifications are specific to the rendering provider. If another provider in your practice sees the patient, we

• Confirm benefit details
• Submit clinical notes if requested by the plan

• Confirm the current plan policy before submission.
• Use the insurer authorization workflow for this listed code.