Prior Auth Required

55877 - Requests can be submitted

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceRequests can be submitted
Procedure / Service Description

Category Subcategory/notes Codes and comments - 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 can call Evolent at

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.