Prior Auth Required
97607 - Home Health and Hospice Prior authorization is required for some home-based services including nursing
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceHome Health and Hospice Prior authorization is required for some home-based services including nursing
Procedure / Service Description
Service Explanation Codes (the list of codes includes; but is not limited to the following) - Home Health and Hospice Prior authorization is required for some home-based services including nursing, 97139; 97607; 97608; 97799;99504; 99509; 99600; S9123; S9124; T1001; T1002; T1021; T2042; Services therapies, and home health aide. (Codes as listed.) T2043; T2044; T2045; and T2046
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.