Prior Auth Required

97158 - Behavioral Health Group adaptive behavior treatment with protocol modification

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceBehavioral Health Group adaptive behavior treatment with protocol modification
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 100 - multiple sets of guardians/caregivers, each 15 minutes Behavioral Health 97158 Group adaptive behavior treatment with protocol modification, administered by physician or other qualified health care

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.