Prior Auth Required

97168 - Re-evaluation of occupational therapy 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 / ServiceRe-evaluation of occupational therapy Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - submit online review at www.evicore.com. 97168 Re-evaluation of occupational therapy Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit established plan of care. Typically, 30 online review at www.evicore.com. For minutes are spent face-to-face with the 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.