Prior Auth Required

90964 - care coordination. Please complete the Case / Disease Management Referral Form for

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicecare coordination. Please complete the Case / Disease Management Referral Form for
Procedure / Service Description

services, including: anesthetics; for dental care furnished in the facility; if any of the - Dialysis A case manager will be available from Together with CCHP to assist the member with 90935; 90945; 90951; 90952; 90953; 90954; 90955; 90956; 90957; 90958; 90959; care coordination. Please complete the Case / Disease Management Referral Form for 90960; 90961; 90962; 90964; 90965; 90966; 90967; 90968; 90969; 90970; 90993; the member. 90997; 90999; G0492

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.