Prior Auth Required

1170F - Current Level of Function (Compare to initial assessment.) Category II Codes

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCurrent Level of Function (Compare to initial assessment.) Category II Codes
Procedure / Service Description

NAME OF MEDICATION PRESCRIPTION O-T-C DOSAGE - Current Level of Function (Compare to initial assessment.) Category II Codes: 1170F ADL  INDEPENDENT  MINIMAL ASSISTANCE  NEEDS ASSISTANCE  TOTAL ASSIST  CONTROLS/MOVES ALL LIMBS AT WILL AND SAFELY INDEPENDENT CONTROLS/MOVES ALL LIMBS WITH MIN. ASSISTANCE

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.