Prior Auth Required

96004 - Review and interpretation by physician or 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 / ServiceReview and interpretation by physician or Possible Denial; Medical Records Investigative Documentation optional
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - walking or other functional activities, 1-12 Optional muscles 96004 Review and interpretation by physician or Possible Denial; Medical Records Investigative Documentation optional. other qualified health care professional of Optional comprehensive computer-based motion

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.