Prior Auth Required
58152 - 58200, 58210, 58260, 58262,
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / Service58200, 58210, 58260, 58262,
Procedure / Service Description
Procedures - 57106, 57107, 57109, 57110, 57111, 57112, 57291, 57292, 57335, 58150, 58152, 58180, 58200, 58210, 58260, 58262, 58263, 58267, 58270, 58275,
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.