Prior Auth Required

21295 - 23075; 24071; 24075; 30120; 30400; 30410; 30420; 30430; 30435; 30450; 30460; 30462; 30465;

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Service23075; 24071; 24075; 30120; 30400; 30410; 30420; 30430; 30435; 30450; 30460; 30462; 30465;
Procedure / Service Description

Service Explanation Codes (the list of codes includes; but is not limited to the following) - 21195; 21196; 21198; 21199; 21206; 21208; 21209; 21210; 21215; 21230; 21235; 21240; 21242; 21243; 21244; 21245; 21246; 21247; 21248; 21249; 21255; 21256; 21260; 21261; 21263; 21267; 21268; 21270; 21275; 21280; 21282; 21295; 21296; 21552; 21555; 21740; 22902; 22903; 23071; 23075; 24071; 24075; 30120; 30400; 30410; 30420; 30430; 30435; 30450; 30460; 30462; 30465; 30520; 30545; 30620; 30630; 30999; 36470; 36471; 36473; 36474; 36475; 36476; 36478; 37700;

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.