Prior Auth Required

11721 - G0127, S0390

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceG0127, S0390
Procedure / Service Description

MP9679 MP9679 - MP9679 MP9679 Foot Care MP9656 Foot Care MP9656 Not required NA 11055, 11056, 11057, NA 11719, 11720, 11721, G0127, S0390 Functional Electrical Functional Electrical Not required NA A4540, E0770, E0764, NA

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.