Prior Auth Required

4010F - ACEI or ARB therapy prescribed or currently taking

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceACEI or ARB therapy prescribed or currently taking
Procedure / Service Description

HEDIS Measure CPT II Code Description - 3062F Positive microalbuminuria test confirmed with lab result 3066F Documentation of tx for nephropathy 4010F ACEI or ARB therapy prescribed or currently taking 3074F Most recent systolic blood pressure <130 mmHg 3075F Most recent systolic blood pressure 130-139 mm Hg

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.