Prior Auth Required

97545 - Work hardening/conditioning; initial 2 hours Non-covered Service Benefit Exception Considered non-covered unless

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceWork hardening/conditioning; initial 2 hours 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, - submit online review at www.evicore.com. 97545 Work hardening/conditioning; initial 2 hours Non-covered Service Benefit Exception Considered non-covered unless 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.