Prior Auth Required

55842 - all preauthorization requests

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Serviceall preauthorization requests
Procedure / Service Description

Expedited/urgent cases can be - Prostate surgeries Evolent, formerly New 55801, 55810, 55812, (prostatectomy) Century Health, will manage 55815, 55821, 55831, all preauthorization requests. 55840, 55842, 55845, Requests can be submitted 55866, 55868, 55869, on Evolent’s website 55867, 55868, 55869,

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.