Prior Auth Required
86255 - 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- - 86148* network for Medicaid, Community, and Health Advantage 86200 86255 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.