Prior Auth Required

21120 - Home Use of Bilevel Home Use of Bilevel Not required NA

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceHome Use of Bilevel Home Use of Bilevel Not required NA
Procedure / Service Description

MP9708 MP9708 - MP9781 MP9781 E0870, E0880, E0890, E0900, E0941 Home Use of Bilevel Home Use of Bilevel Not required NA 21120, 21121, 21122, 0437T, 64582, 64584 Positive Airway Positive Airway 21123, 21199, 42145, Pressure (BiPAP) for Pressure (BiPAP) for E0470, E0471, E0472,

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.