Prior Auth Required

97530 - Therapeutic activities, direct (one-on-one) 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 activities, direct (one-on-one) Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - medical service or supply. Code Description Plan Review Requirement Reviewed For Records Request 97530 Therapeutic activities, direct (one-on-one) Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit patient contact (use of dynamic activities to online review at www.evicore.com. For improve functional performance), each 15 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.