Prior Auth Required

96113 - 0912 1002 - * # * *

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Service0912 1002 - * # * *
Procedure / Service Description

Prior Authorization Codification List - Treatment (*For Marketplace Members only) SUD partial hospitalization (20 or more hours per week). 0901 1001 90867 96112- G0397 H0015***< H0032* H0046 H2014* H2017* H2020 S0201 T1023* T1027* T2040* 0912 1002 90868 96113- H0001 H0017 H0035 H2012* H2015 H2018 H2034 S5150# T1025* T1028* 0913 2106 90869 G0396 H0012 H0031* H0040 H2013 H2016 H2019* H2036 S5111 T1026*+ T2013* # PA required regardless of Dx.

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.