Prior Auth Required

97170 - Athletic training evaluation, moderate Non-covered Service Benefit Exception Considered non-covered unless

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceAthletic training evaluation, moderate Non-covered Service Benefit Exception Considered non-covered unless
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - 97169 Athletic training evaluation, low complexity Non-covered Service Benefit Exception Considered non-covered unless member's contract indicates coverage. 97170 Athletic training evaluation, moderate Non-covered Service Benefit Exception Considered non-covered unless complexity member's contract indicates coverage. 97171 Athletic training evaluation, high complexity Non-covered Service Benefit Exception Considered non-covered unless

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.