Prior Auth Required

49540 - 49654; 49656; 51990; 51992; 57287; 57288; 57291; 50700; 53854; 53899; 54125;

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service49654; 49656; 51990; 51992; 57287; 57288; 57291; 50700; 53854; 53899; 54125;
Procedure / Service Description

EEG - 43332; 43333; 43334; 43335; 43336; 43337; 43621; 45399; 45560; 46500; 46505; 46753; 46760; 46761; 46945; 46946; 46947; 49250; 49540; 49550; 49555; 49570; 49585; 49590; 49600; 49611; 49650; 49651; 49652; 49654; 49656; 51990; 51992; 57287; 57288; 57291; 50700; 53854; 53899; 54125; 54360; 55175; 55970; 55980; 56620; 56625; 56805; 57106; 57110; 57292; 57295;

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.