Prior Auth Required

97016 - Outpatient therapy

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceOutpatient therapy
Procedure / Service Description

Out-of-Network Services Advance notification required.Plan members who use out-of- - network physicians, healthcare professionals or facilities may have increased out-of pocket expenses or no coverage. Outpatient therapy 92507, 92508, 92526, 97012, 97016, 97018, 97022, 97024, 97026, (PT/OT/ST, chiropractic) 97028, 97032, 97033, 97034, 97035, 97036, 97039, 97110, 97112, 97113, 97116, 97124, 97139, 97140, 97150, 97164, 97168, 97530,

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.