Prior Auth Required

90955 - ● ESRD (end-stage renal disease)-related services (CPT codes , , )

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service● ESRD (end-stage renal disease)-related services (CPT codes , , )
Procedure / Service Description

These providers may be reimbursed, as appropriate, for the following services provided through telemedicine - ● Health and behavior assessment/intervention (CPT codes 96150-96152, 96154-96155). ● ESRD (end-stage renal disease)-related services (CPT codes 90951-90952, 90954-90958, 90960-90961). ● Outpatient substance abuse services (HCPCS (Healthcare Common Procedure Coding System) codes H0022, H0047,

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.