Prior Auth Required

53854 - all preauthorization requests

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceall preauthorization requests
Procedure / Service Description

Category Subcategory/notes Codes and comments - Evolent, formerly New 50592, 50593, 51721, Century Health, will manage 52597, 53850, 53852, all preauthorization requests. 53854, 55873, 55881, Requests can be submitted 55882, 55877, 0582T, on Evolent's website, or you 0600T, 0601T, 0950T

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.