Prior Auth Required

97007 - Mechanical scalp cooling, including Non-covered Service Not Covered This service is not covered by the

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceMechanical scalp cooling, including Non-covered Service Not Covered This service is not covered by the
Procedure / Service Description

chemotherapy (HIPEC) procedure, documentation of medical necessity. - operative report if surgical) only for the date of service performed. 97007 Mechanical scalp cooling, including Non-covered Service Not Covered This service is not covered by the individual cap supply with head member's contract. measurement, fitting, and patient education

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.