Prior Auth Required

97542 - Wheelchair management (eg, assessment, 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 / ServiceWheelchair management (eg, assessment, Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit
Procedure / Service Description

safety procedures, and instructions in use treatment visits in an episode of care, - direct one-on-one contact, each 15 minutes member's contract indicates coverage. 97542 Wheelchair management (eg, assessment, Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit fitting, training), each 15 minutes online review at www.evicore.com. For 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.