Prior Auth Required

85291 - No auth required for pregnant women over the age of 40 and services are provided in-

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceNo auth required for pregnant women over the age of 40 and services are provided in-
Procedure / Service Description

Procedure Code Notes - 84182 84999 85291 No auth required for pregnant women over the age of 40 and services are provided in- 86146* network for Medicaid, Community, and Health Advantage

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.