Prior Auth Required

97605 - Negative pressure wound therapy (e.g., Prior Authorization Required Medical Necessity Submit history and physical

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceNegative pressure wound therapy (e.g., Prior Authorization Required Medical Necessity Submit history and physical
Procedure / Service Description

additional hour (List separately in addition member's contract indicates coverage. - additional hour (List separately in addition member's contract indicates coverage. to code for primary procedure 97605 Negative pressure wound therapy (e.g., Prior Authorization Required Medical Necessity Submit history and physical, vacuum assisted drainage collection), documentation of medical necessity. utilizing durable medical equipment (DME),

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.