Prior Auth Required
10040 - 15730 21155 22224 22810 25447 28100 28210 28302 29807 29894 33224 36470 38215 47612 58270 58573 61863 63047 64912 96902
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / Service15730 21155 22224 22810 25447 28100 28210 28302 29807 29894 33224 36470 38215 47612 58270 58573 61863 63047 64912 96902
Procedure / Service Description
Out-Patient (OP) Hospital/Ambulatory Surgery Center (ASC) Procedures - Out-Patient (OP) Hospital/Ambulatory Surgery Center (ASC) Procedures 10040 21154 22222 22808 23470 28092 28208 28300 29806 29893 33221 36468 38214 47610 58267 58572 59076 63046 64595 96900 15730 21155 22224 22810 25447 28100 28210 28302 29807 29894 33224 36470 38215 47612 58270 58573 61863 63047 64912 96902 15733 21159 22226 22812 26499 28102 28220 28304 29819 29895 33225 36471 38232 47620 58275 58660 61864 63048 64913 96904
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.