Prior Auth Required

0864T - Low-intensity extracorporeal shock wave Possible Denial; Medical Records Investigative Documentation optional

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceLow-intensity extracorporeal shock wave Possible Denial; Medical Records Investigative Documentation optional
Procedure / Service Description

microscopy, diagnostic (list separately in member's contract indicates coverage. - both lower extremities 0864T Low-intensity extracorporeal shock wave Possible Denial; Medical Records Investigative Documentation optional. therapy involving corpus cavernosum, low Optional energy

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.