Prior Auth Required

96549 - Unlisted chemotherapy procedure

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceUnlisted chemotherapy procedure
Procedure / Service Description

substance/drug), up to 1 hour (List separately in addition to code for primary procedure) - hours), requiring the use of a portable or implantable pump 96440 Chemotherapy administration into pleural cavity, requiring and including thoracentesis 96549 Unlisted chemotherapy procedure 97012 Application of a modality to 1 or more areas; traction, mechanical 97016 Application of a modality to 1 or more areas; vasopneumatic devices

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.