Prior Auth Required

21125 - 21127 22110 22595 22855 27447 28124 28280 28360 29880 31297 33266 37765 43846 55980 58542 58952 63012 63087 90792 C9739

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Service21127 22110 22595 22855 27447 28124 28280 28360 29880 31297 33266 37765 43846 55980 58542 58952 63012 63087 90792 C9739
Procedure / Service Description

Prior Authorization Codification List - 21122 22101 22585 22849 27443 28119 28264 28341 29876 31259 33254 37735 43842 54405 58356 58943 63003 63082 69718 C2616 21123 22102 22586 22850 27445 28120 28270 28344 29877 31295 33261 37760 43843 55874 58540 58950 63005 63085 69930 C9734 21125 22103 22590 22852 27446 28122 28272 28345 29879 31296 33265 37761 43845 55970 58541 58951 63011 63086 90791 C9738 21127 22110 22595 22855 27447 28124 28280 28360 29880 31297 33266 37765 43846 55980 58542 58952 63012 63087 90792 C9739 21137 22112 22600 22856 27486 28126 28285 28705 29881 31298 33289 37766 43847 57288 58543 58953 63015 63088 90870 C9740

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.