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.