Prior Auth Required
28080 - 21151 22220 22804 23412 28090 28202 28299 28890 29892 33214 36466 38213 47605 58263 58571 59074 63045 64590 96574
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / Service21151 22220 22804 23412 28090 28202 28299 28890 29892 33214 36466 38213 47605 58263 58571 59074 63045 64590 96574
Procedure / Service Description
Prior Authorization Codification List - 21146 22212 22634 22868 28060 28173 28296 28750 29888 33208 34716 38210 47380 58240 58553 58976 63042 64568 96570 21147 22214 22800 22869 28062 28175 28297 28755 29889 33212 36460 38211 47381 58260 58554 59070 63043 64569 96571 21150 22216 22802 22870 28080 28200 28298 28760 29891 33213 36465 38212 47382 58262 58570 59072 63044 64570 96573 21151 22220 22804 23412 28090 28202 28299 28890 29892 33214 36466 38213 47605 58263 58571 59074 63045 64590 96574
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.