Prior Auth Required

0422T - 95977 0107T 0205T 0222T 0267T 0314T 0353T 0404T 0423T 0442T 0479T 0497T 0514T 0531T Q4161

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service95977 0107T 0205T 0222T 0267T 0314T 0353T 0404T 0423T 0442T 0479T 0497T 0514T 0531T Q4161
Procedure / Service Description

Prior Authorization Codification List - Prior Authorization Codification List 95836 0102T 0201T 0220T 0265T 0312T 0351T 0402T 0421T 0440T 0477T 0495T 0512T 0529T C9755 95976 0106T 0202T 0221T 0266T 0313T 0352T 0403T 0422T 0441T 0478T 0496T 0513T 0530T L8608 95977 0107T 0205T 0222T 0267T 0314T 0353T 0404T 0423T 0442T 0479T 0497T 0514T 0531T Q4161 95983 0108T 0206T 0228T 0268T 0315T 0354T 0405T 0424T 0443T 0480T 0498T 0515T 0532T Q4162

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.