Prior Auth Required

99456 - Work-related or Medical Disability Exam All

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceWork-related or Medical Disability Exam All
Procedure / Service Description

Out of Network All OON/Out of Plan Services All codes unless otherwise noted 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 Substance Use Disorder Urine Drug Screens – Over the limits for screening/presumptive/definitive require authorization or if provider is out 80305-80307, G0480-G0483, G0659 - of network

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.