Prior Auth Required

58340 - 58752 58760 58770 58970 58974 58976 64612 64613

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service58752 58760 58770 58970 58974 58976 64612 64613
Procedure / Service Description

OTHER PROCEDURES - 43886 43887 43888 43999 52402 54500 54505 55200 55300 55400 55550 55870 55970 55980 58321 58322 58323 58340 58345 58350 58700 58720 58740 58750 58752 58760 58770 58970 58974 58976 64612 64613 64614 64615 64616 64617 64620 64630 64632 64642

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.