Prior Auth Required

64569 - 64620; 64630; 64680; 64681; 64802; 64804; 64809; 64818; 64820; 64821; 64822;

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service64620; 64630; 64680; 64681; 64802; 64804; 64809; 64818; 64820; 64821; 64822;
Procedure / Service Description

Prior Authorization List - 63180; 63182; 63185; 63190; 63191; 63194; 63196; 63198; 63200; 63250; 63252; 63265; 63267; 63270; 63272; 63275; 63277; 63280; 63282; 63285; 63287; 63290; 64568; 64569; 64585; 64590; 64595; 64600; 64605; 64610; 64615; 64616; 64617; 64620; 64630; 64680; 64681; 64802; 64804; 64809; 64818; 64820; 64821; 64822; 64823; 65785; 67971; 67973; 67974; 67975; 995961; 95962; S2080; S2112;

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.