Prior Auth Required
97535 - Self-care/home management training (eg, 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 / ServiceSelf-care/home management training (eg, Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit
Procedure / Service Description
Code Description Plan Review Requirement Reviewed For Records Request - provider, each 15 minutes submit online review at www.evicore.com. 97535 Self-care/home management training (eg, Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit activities of daily living (ADL) and online review at www.evicore.com. For compensatory training, meal preparation, 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.