Prior Auth Required

97750 - Physical performance test or measurement 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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Procedure / ServicePhysical performance test or measurement Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - total wound(s) surface area greater than 50 square centimeters 97750 Physical performance test or measurement Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit (eg, musculoskeletal, functional capacity), online review at www.evicore.com. For with written report, each 15 minutes 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.