Prior Auth Required

97152 - 97154, 97155, 97156, 97157, 97158, 0362T, 0373T ***Behavioral

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service97154, 97155, 97156, 97157, 97158, 0362T, 0373T ***Behavioral
Procedure / Service Description

SERVICES CPT/HCPCS -Physician Administered Drugs - (PADs) indicated in blue Behavioral Health Services 90867, 90868, 90869, 90870, 96116, 96121, 96130, 96131, 96132, 96133, 96136, 96137, 96138, 96139, 96146, 97151, 97152, 97153, 97154, 97155, 97156, 97157, 97158, 0362T, 0373T ***Behavioral health authorization is managed by Lucet. Authorization can be

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.