Prior Auth Required

15821 - required

This procedure appears on the selected insurer prior authorization source.

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

• No Prior Authorization required on - admission. (5 days authorized on 21685, 41512, 41530, 41599, 42145 admission), Notice of Admission required 15820, 15821, 15822, 15823, 15877, 67900, 67901, 67902, 67903. 67904, 67906, • Continued stay review required 67908, 67909, 67911, 67914, 67915, 67916, 67917, • Retrospective admission requires 67921, 67922, 67923, 67924, 67950

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.