Prior Auth Required

81220 - no auth required, Medicaid, Community, and Health Advantage

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Serviceno auth required, Medicaid, Community, and Health Advantage
Procedure / Service Description

Procedure Code Notes - 81218 81219 81220 no auth required, Medicaid, Community, and Health Advantage 81221 81222 Medicaid only - no auth required

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.