Prior Auth Required

97750 - Functional Evaluation / Physical Performance Test All except PWSHC and PHC

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceFunctional Evaluation / Physical Performance Test All except PWSHC and PHC
Procedure / Service Description

Out of Network All OON/Out of Plan Services All codes unless otherwise noted All - Out of Network All OON/Out of Plan Services All codes unless otherwise noted All Rehab Cochlear Implant Analysis 92601 GN, 92602 GN, 92603 GN, 92604 GN All Functional Evaluation / Physical Performance Test 97750 All except PWSHC and PHC Work Hardening 97546, 97545 All Work-related or Medical Disability Exam 99456 All

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.