Prior Auth Required

21296 - Orthotics and prosthetics: m ore than Prior authorization required only in L0112 L0170 L0456 L0462

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceOrthotics and prosthetics: m ore than Prior authorization required only in L0112 L0170 L0456 L0462
Procedure / Service Description

How to Obtain Prior Authorization - 21240 21242 21244 21245 21246 21247 21248 21249 21255 21296 21299 Orthotics and prosthetics: m ore than Prior authorization required only in L0112 L0170 L0456 L0462 $500 outpatient settings, to include L0464 L0480 L0482 L0484

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.