Prior Auth Required
42215 - 67902; 67903;67904; 67906; 67908; 67909; 67911; 67912; 67914; 67915;67916; 67917; 67921;
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / Service67902; 67903;67904; 67906; 67908; 67909; 67911; 67912; 67914; 67915;67916; 67917; 67921;
Procedure / Service Description
Service Explanation Codes (the list of codes includes; but is not limited to the following) - 37718; 37722; 37735; 37760; 37761; 37765; 37766; 37780; 37785; 40500; 40510; 40520; 40525; 40527; 40530; 40652;40654; 40700; 40701; 40702; 40720; 40761; 40799; 42200;42205; 42210; 42215; 42220; 42225; 42226; 42227; 42235; 42260; 55175; 55180; 67880; 67882; 67900; 67901; 67902; 67903;67904; 67906; 67908; 67909; 67911; 67912; 67914; 67915;67916; 67917; 67921; 67922; 67923; 67924; 67950; 67961;67966; 67971; 67973; 67974; 67975; 67999; 69300; 69399
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.