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.