Prior Auth Required

86200 - 86255

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service86255
Procedure / Service Description

No auth required for pregnant women over the age of 40 and services are provided in- - No auth required for pregnant women over the age of 40 and services are provided in- 86148* network for Medicaid, Community, and Health Advantage 86200 86255 86255

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.