Prior Auth Required
50949 - 17999 26989 36299 42699 45999 51999 60659 69949 78399 86999 89398 96549 A4649 E0770 J8597 L7499 Q2039 V2797
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / Service17999 26989 36299 42699 45999 51999 60659 69949 78399 86999 89398 96549 A4649 E0770 J8597 L7499 Q2039 V2797
Procedure / Service Description
Unlisted/Miscellaneous Codes - Molina Healthcare requires PA, as well as medically necessity documentation and rationale be submitted with the PA request for all Unlisted/Miscellaneous codes. 01999 24999 32999 41599 45399 50549 59898 69399 78199 86486 88749 95999 A4421 C2699 J8498 L3999 Q0508 T2025 15999 25999 33999 42299 45499 50949 59899 69799 78299 86849 89240 96379 A4641 E0769 J8499 L5999 Q0509 V2199 17999 26989 36299 42699 45999 51999 60659 69949 78399 86999 89398 96549 A4649 E0770 J8597 L7499 Q2039 V2797 19499 27299 37501 42999 46999 53899 60699 69979 78599 87797 90399 96999 A4913 E1399 J8999 L8039 Q4050 V2799
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.