Prior Auth Required

97113 - Therapeutic procedure, 1 or more areas, Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceTherapeutic procedure, 1 or more areas, Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - and/or proprioception for sitting and/or submit online review at www.evicore.com. standing activities 97113 Therapeutic procedure, 1 or more areas, Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit each 15 minutes; aquatic therapy with online review at www.evicore.com. For therapeutic exercises Washington plans: After the first 6

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.