Prior Auth Required

51321 - wheelchair under Title 22 of the Code of Regulation section (h)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicewheelchair under Title 22 of the Code of Regulation section (h)
Procedure / Service Description

Lead Department: Health Services - 6. Used in a facility that is expected to provide such items to the beneficiary 7. Used in a skilled nursing facility, unless the beneficiary demonstrates the need for a custom wheelchair under Title 22 of the Code of Regulation section 51321(h) 8. Not prescribed by a licensed practitioner, or, in the case of a custom wheelchair, by a licensed practitioner after evaluation by a QHP.

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.