Prior Auth Required

42890 - 43196; 43197; 43262; 43263; 43264; 43265; 43266; 43279; 43280; 43281; 43282;

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Service43196; 43197; 43262; 43263; 43264; 43265; 43266; 43279; 43280; 43281; 43282;
Procedure / Service Description

EEG - 40820; 41019; 41820; 41821; 41822; 41823; 41825; 41826; 41827; 41828; 41830; 41850; 41870; 41872; 41874; 42140; 42145; 42280; 42281; 42820; 42821; 42825; 42826; 42830; 42831; 42835; 42836; 42890; 42892; 42894; 42950; 43191; 43195; 43196; 43197; 43262; 43263; 43264; 43265; 43266; 43279; 43280; 43281; 43282; 43332; 43333; 43334; 43335; 43336; 43337; 43621;

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.