Prior Auth Required

97763 - Orthotic(s)/prosthetic(s) management 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 / ServiceOrthotic(s)/prosthetic(s) management Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - submit online review at www.evicore.com. 97763 Orthotic(s)/prosthetic(s) management Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit and/or training, upper extremity(ies), lower online review at www.evicore.com. For extremity(ies), and/or trunk, subsequent 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.