Prior Auth Required

77771 - 8 a.m. – 8 p.m., Eastern time

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service8 a.m. – 8 p.m., Eastern time
Procedure / Service Description

Category Subcategory/notes Codes and comments - speak to a live representative 77761, 77762, 77763, Monday – Friday, 77767, 77768, 77770, 8 a.m. – 8 p.m., Eastern time. 77771, 77772, 77778, eFax number: 213-596-3783 77387, G0339, G0340, eFax email: G0458

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.