Prior Auth Required

86813 - 176 ("Adjusted" total points possible) 190 or "adjusted" total or 176 =0. =87%

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Service176 ("Adjusted" total points possible) 190 or "adjusted" total or 176 =0. =87%
Procedure / Service Description

(40) Clinical Services - 190 (Total points possible) - 14 (N/A points) Points Given 158 176 ("Adjusted" total points possible) 190 or "adjusted" total or 176 =0.86813 =87%

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.