Prior Auth Required

96153 - No

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceNo
Procedure / Service Description

Clozapine Management ----- No - S9485 (per diem) No Health and Behavior Assessment/Intervention 96150-96152, 96154-96155 Yes 96153 No In-Home Mental Health/Substance Abuse H0004, H0022, T1006 Yes Treatment Services for Children (HealthCheck

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.