Prior Auth Required

21088 - Prior Authorization List

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServicePrior Authorization List
Procedure / Service Description

Prior Authorization List - L8629; L8631; L8670; L8684; L8690; L8691; L8692; L8693; L8696; L8699; V2623; V2624; V2625; V2626; V2627; V2628; V2629; 21076; 21077; 21079; 21080; 21081; 21082; 21083; 21084; 21085; 21086; 21087; 21088; Proton Beam Therapy, These services require prior authorization. Together with CCHP may have a case 32701; 55920; 61796; 61797; 61798; 61799; 61800; 63620; 63621; 77316;

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.