Prior Auth Required

90627 - DOSAGE, FOR INTRAMUSCULAR USE

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceDOSAGE, FOR INTRAMUSCULAR USE
Procedure / Service Description

Potential spinnbarkeit test - Pharmacy TICK-BORNE ENCEPHALITIS VIRUS VACCINE, INACTIVATED; 0.5 ML 90627 DOSAGE, FOR INTRAMUSCULAR USE Pharmacy 90758 ZAIRE EBOLAVIRUS VACCINE, LIVE, FOR INTRAMUSCUALR USE

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.