Prior Auth Required

97530 - Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceTherapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional
Procedure / Service Description

substance/drug), up to 1 hour (List separately in addition to code for primary procedure) - or more regions, each 15 minutes 97150 Therapeutic procedure(s), group (2 or more individuals) 97530 Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes 97533 Sensory integrative techniques to enhance sensory processing and promote adaptive responses to

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.