Prior Auth Required

90791 - Standard diagnostic 1 Maximum of four sessions

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceStandard diagnostic 1 Maximum of four sessions
Procedure / Service Description

Code Modifier Service Description Unit Limitations - Diagnostic Assessment CPT Codes Code Modifier Service Description Unit Limitations 90791 Standard diagnostic 1 Maximum of four sessions, assessment session cumulative per calendar year 52 Brief diagnostic 1 A member may not receive more

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.