Prior Auth Required

92397 - 171 ("Adjusted" total points possible) 195 or "adjusted" total or 171 =0. =92%

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Service171 ("Adjusted" total points possible) 195 or "adjusted" total or 171 =0. =92%
Procedure / Service Description

(44) Clinical Services - 195 (Total points possible) - 24 (N/A points) Points Given 158 171 ("Adjusted" total points possible) 195 or "adjusted" total or 171 =0.92397 =92%

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.