Prior Auth Required

0704T - Remote treatment of amblyopia using an Pre-Service Review Required Medical Necessity Submit history and physical

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceRemote treatment of amblyopia using an Pre-Service Review Required Medical Necessity Submit history and physical
Procedure / Service Description

(List separately in addition to code for - (List separately in addition to code for primary procedure) 0704T Remote treatment of amblyopia using an Pre-Service Review Required Medical Necessity Submit history and physical, eye tracking device; device supply with documentation of medical necessity. initial set-up and patient education on use

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.