Prior Auth Required
0791T - Motor-cognitive, semi-immersive virtual Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceMotor-cognitive, semi-immersive virtual Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit
Procedure / Service Description
electrode array, sacral, with integrated documentation of medical necessity. - electrode array, sacral, with integrated documentation of medical necessity. neurostimulator 0791T Motor-cognitive, semi-immersive virtual Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit reality-facilitated gait training, each 15 online review at www.evicore.com. For minutes (List separately in addition to code Washington plans: After the first 6
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.