Prior Auth Required

97542 - 97546 97597* 97598* 97760 G0128 G0129 G0237 G0238

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Service97546 97597* 97598* 97760 G0128 G0129 G0237 G0238
Procedure / Service Description

Prior authorization must be submitted within 2 weeks after the initial evaluation. - 97116 97124 97139 97140 97150 97161 97162 97163 97164 97165 97166 97167 97168 97169 97170 97171 97172 97530 97532 97533 97535 97537 97542 97545 97546 97597* 97598* 97760 G0128 G0129 G0237 G0238 G0239 G0281 G0282 G0283 G0422 G0423 G0424

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.