Prior Auth Required

28043 - 30410; 30420; 30430; 30435; 30450; 30460; 30462; 30465; 30520; 30620; 36465;

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service30410; 30420; 30430; 30435; 30450; 30460; 30462; 30465; 30520; 30620; 36465;
Procedure / Service Description

Prior Authorization List - 21555; 21740; 21742; 21743; 21931; 22900; 22901; 22902; 22903; 23071; 23073; 23075; 23076; 24071; 24073; 24075; 24076; 27045; 27047; 27048; 27327; 27328; 27337; 27339; 27618; 27619; 27632; 27634; 28039; 28041; 28043; 28045; 30400; 30410; 30420; 30430; 30435; 30450; 30460; 30462; 30465; 30520; 30620; 36465; 36466; 36468; 36470; 36471; 36473; 36374; 36475; 36476; 36478; 36479; 36482;

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.