Prior Auth Required

53855 - M. Partnership is responsible for emergency room professional services as described in Section of

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceM. Partnership is responsible for emergency room professional services as described in Section of
Procedure / Service Description

3. Family therapy is delivered without regard to the five session limit for Members under age 21 with - g. severe/persistent bullying h. discrimination M. Partnership is responsible for emergency room professional services as described in Section 53855 of Title 22 of the California Code of Regulations (CCR). This includes all professional physical, mental,

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  • Confirm benefit details
  • Submit clinical notes if requested by the plan
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  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.