Prior Auth Required

97606 - 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.

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

vacuum assisted drainage collection), documentation of medical necessity. - area less than or equal to 50 square centimeters 97606 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.