Prior Auth Required

96125 - * * * * * *

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Service* * * * * *
Procedure / Service Description

All LTSS Codes/Services Require Prior Authorization regardless of code(s). - Neuropsychological & Psychological Tests (in any setting) 95950 95953 95957 96113* 96121* 96130* 96132* 96136* 96138* 96146* 97152 97154 97156 97158 95951 95956 96112* 96116* 96125 96131* 96133* 96137* 96139* 97151 97153 97155 97157 *PA not required by CBHC agencies certified by Ohio MHAS for up to 20 hours per calendar year. Additional visits/hours and all other provider types, PA required. **PA required after 8 hours/encounters per patient per calendar year

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.