Prior Auth Required
21245 - Orthotics Prior authorization required for orthotics codes listed with a retail
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceOrthotics Prior authorization required for orthotics codes listed with a retail
Procedure / Service Description
Post-acute services the following facilities providing post-acute inpatient services: acute - 21145, 21146, 21147, 21150, 21151, 21154, 21155, 21159, 21160, 21188, 21193, 21194, 21195, 21196, 21198, 21199, 21206, 21210, 21215, 21240, 21242, 21244, 21245, 21246, 21247 Orthotics Prior authorization required for orthotics codes listed with a retail purchase or cumulative rental cost of more than $1,000.
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.