Prior Auth Required

28286 - 21139 22116 22612 22861 28005 28140 28288 28725 29883 31661 33275 37785 43881 58150 58545 58956 63017 63091 90868 C9747

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Service21139 22116 22612 22861 28005 28140 28288 28725 29883 31661 33275 37785 43881 58150 58545 58956 63017 63091 90868 C9747
Procedure / Service Description

Prior Authorization Codification List - 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 21138 22114 22610 22857 27487 28130 28286 28715 29882 31660 33274 37780 43848 57289 58544 58954 63016 63090 90867 C9746 21139 22116 22612 22861 28005 28140 28288 28725 29883 31661 33275 37785 43881 58150 58545 58956 63017 63091 90868 C9747 21141 22206 22630 22862 28008 28150 28289 28730 29884 32491 33979 38204 43882 58180 58546 58957 63020 63101 90869 C9748

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.