Prior Auth Required

97799 - Unlisted physical medicine/rehabilitation 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 / ServiceUnlisted physical medicine/rehabilitation Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - minutes submit online review at www.evicore.com. 97799 Unlisted physical medicine/rehabilitation Retrospective Review Outpatient Rehabilitation For Alaska plans: After initial visit, submit service or procedure online review at www.evicore.com. For 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.