Prior Auth Required

97172 - Re-evaluation of athletic training Non-covered Service Benefit Exception Considered non-covered unless

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceRe-evaluation of athletic training Non-covered Service Benefit Exception Considered non-covered unless
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - 97171 Athletic training evaluation, high complexity Non-covered Service Benefit Exception Considered non-covered unless member's contract indicates coverage. 97172 Re-evaluation of athletic training Non-covered Service Benefit Exception Considered non-covered unless member's contract indicates coverage.

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.