Prior Auth Required

99607 - infusion therapy supplies and pumps are applies

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceinfusion therapy supplies and pumps are applies
Procedure / Service Description

Prior Authorization List - Home Health Care (including home Benefits are available for Home Health Care services only when each of the following 97139; 97799; 99500; 99501; 99502; 99503; 99504; 99505; 99506; 99507; 99509; infusion therapy supplies and pumps are applies: 99511; 99512; 99600; 99601; 99602; 99605; 99606; 99607; G0151; G0152; covered under the DME Process) G0153; G0154; G0155; G0156; G0157; G0158; G0159; G0160; G0161; G0162; ● A formal home care program furnishes the services in the member’s home;

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.