Prior Auth Required

97158 - P

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceP
Procedure / Service Description

Requirement Service / Procedure Code Info and Notes - Applied Behavior Analysis (ABA) Must have a diagnosis of Autism Spectrum P 97151 – 97158 Therapy Disorder (ASD).

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.