Prior Auth Required

96376 - Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential
Procedure / Service Description

intravenous push of a new substance/drug (List separately in addition to code for primary procedure) - 96375 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure) 96376 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)

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.