Prior Auth Required

0902T - QTc interval derived by augmentative Possible Denial; Medical Records Investigative Documentation optional

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceQTc interval derived by augmentative Possible Denial; Medical Records Investigative Documentation optional
Procedure / Service Description

Milieu Therapy member's contract indicates coverage. - 0902 Behavioral Health Treatments/Services- Non-covered Service Benefit Exception Considered non-covered unless Milieu Therapy member's contract indicates coverage. 0902T QTc interval derived by augmentative Possible Denial; Medical Records Investigative Documentation optional. algorithmic analysis of input from an Optional external, patient-activated mobile ECG

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.