Prior Auth Required

63017 - 63030; 63035; 63040; 63042; 63043; 63045; 63046; 63047; 63048; 63050; 63051;

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service63030; 63035; 63040; 63042; 63043; 63045; 63046; 63047; 63048; 63050; 63051;
Procedure / Service Description

Prior Authorization List - 61760; 61850; 61860; 61863; 61864; 61867; 61868; 61870; 61885; 61886; 62115; 62263; 62264; 62267; 62284; 62294; 62302; 62303; 62304; 62305; 62350; 62351; 62360; 62361; 62362; 63001; 63005; 63012; 63015; 63016; 63017; 63020; 63030; 63035; 63040; 63042; 63043; 63045; 63046; 63047; 63048; 63050; 63051; 63180; 63182; 63185; 63190; 63191; 63194; 63196; 63198; 63200; 63250; 63252;

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.