Prior Auth Required

97537 - Community/work reintegration 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 / ServiceCommunity/work reintegration training, Non-covered Service Benefit Exception Considered non-covered unless
Procedure / Service Description

safety procedures, and instructions in use treatment visits in an episode of care, - each 15 minutes 97537 Community/work reintegration training, Non-covered Service Benefit Exception Considered non-covered unless direct one-on-one contact, each 15 minutes 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.