Prior Auth Required

95806 - devices • , will be always redirected and

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicedevices • , will be always redirected and
Procedure / Service Description

(MSLT) - • E0470/E0471/E0601 – PAP Therapy G0399 preferred HST Code devices • 95806, G0398 will be always redirected and processed as G0399 • A4604 and A7027 – A7046 – PAP supply • eviCore recommends requesting the preferred

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.