Prior Auth Required

22100 - 21122 22101 22585 22849 27443 28119 28264 28341 29876 31259 33254 37735 43842 54405 58356 58943 63003 63082 69718 C2616

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service21122 22101 22585 22849 27443 28119 28264 28341 29876 31259 33254 37735 43842 54405 58356 58943 63003 63082 69718 C2616
Procedure / Service Description

Prior Authorization Codification List - Effective: 1/1/2020 Prior Authorization Codification List 21121 22100 22558 22848 27442 28118 28262 28340 29875 31257 33251 37722 43775 54401 58350 58940 63001 63081 69717 96936 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

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.