Prior Auth Required

97037 - Application of a modality to 1 or more Non-covered Service Benefit Exception Considered non-covered unless

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceApplication of a modality to 1 or more Non-covered Service Benefit Exception Considered non-covered unless
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - submit online review at www.evicore.com. 97037 Application of a modality to 1 or more Non-covered Service Benefit Exception Considered non-covered unless areas; low-level laser therapy (ie, member's contract indicates coverage. nonthermal and non-ablative) for post-

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.