Prior Auth Required

0445T - 31299 0055T 0111T 0209T 0231T 0271T 0329T 0357T 0410T 0427T 0446T 0484T 0501T 0518T 0535T Q4165

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service31299 0055T 0111T 0209T 0231T 0271T 0329T 0357T 0410T 0427T 0446T 0484T 0501T 0518T 0535T Q4165
Procedure / Service Description

Experimental/Investigational - Experimental/Investigational 22899 0054T 0110T 0208T 0230T 0270T 0317T 0356T 0409T 0426T 0445T 0483T 0500T 0517T 0534T Q4164 31299 0055T 0111T 0209T 0231T 0271T 0329T 0357T 0410T 0427T 0446T 0484T 0501T 0518T 0535T Q4165 33440 0058T 0126T 0210T 0234T 0272T 0330T 0358T 0411T 0428T 0447T 0485T 0502T 0519T 0536T Q4189

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.