Prior Auth Required

96154 - ● Health and behavior assessment/intervention (CPT codes , )

This procedure appears on the selected insurer prior authorization source.

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Procedure / Service● Health and behavior assessment/intervention (CPT codes , )
Procedure / Service Description

These providers may be reimbursed, as appropriate, for the following services provided through telemedicine - 90849, 90875, 90876, and 90887). ● 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).

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.