Prior Auth Required
97116 - 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.
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
each 15 minutes; aquatic therapy with online review at www.evicore.com. For - submit online review at www.evicore.com. 97116 Therapeutic procedure, 1 or more areas, Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit each 15 minutes; gait training (includes online review at www.evicore.com. For stair climbing) 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.