Prior Auth Required

51721 - Evolent, formerly New

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceEvolent, formerly New
Procedure / Service Description

Category Subcategory/notes Codes and comments - electroporation 47382, 47383, 47384, 50250, 50541, 50542, Evolent, formerly New 50592, 50593, 51721, Century Health, will manage 52597, 53850, 53852, all preauthorization requests. 53854, 55873, 55881,

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.