Prior Auth Required
22804 - Updated: September 1, 2025 Page 36 of 61
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceUpdated: September 1, 2025 Page 36 of 61
Procedure / Service Description
patient’s discharge from Procedures - 22610, 22612, 22614, 22630, guidelines/ guidelines/ 22632, 22633, 22634, 22800, 22802, 22804, 22808, 22810, Updated: September 1, 2025 Page 36 of 61 © 2025 Medica
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.