Prior Auth Required

67973 - Service Explanation Codes (the list of codes includes; but is not limited to the following)

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceService Explanation Codes (the list of codes includes; but is not limited to the following)
Procedure / Service Description

Service Explanation Codes (the list of codes includes; but is not limited to the following) - 42215; 42220; 42225; 42226; 42227; 42235; 42260; 55175; 55180; 67880; 67882; 67900; 67901; 67902; 67903;67904; 67906; 67908; 67909; 67911; 67912; 67914; 67915;67916; 67917; 67921; 67922; 67923; 67924; 67950; 67961;67966; 67971; 67973; 67974; 67975; 67999; 69300; 69399

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.