Prior Auth Required

87652 -

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service
Procedure / Service Description

(DME) - 0111U 81212 87623 0045U – 0050U 0113U 81215 – 81420 87652 0055U – 0057U 0115U 81425 – 81479 87660 – 87661

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.