Prior Auth Required

86364 - Procedure Code Notes

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceProcedure Code Notes
Procedure / Service Description

No auth required for pregnant women over the age of 40 and services are provided in- - 86341 86362 86364 Procedure Code Notes 86431

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.