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Evaluation CPT code

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Hello all!

Is there a specific CPT code used for determining approval/authorization for a patient's evaluation only? This is my first non Medicare/Medicaid or Medicaid only patient, so I'm unsure about how to inquire about coverage. I've been given quoted benefits for inpatient services for the actual transplant, but I am unsure on the eval. Do commercial insurances usually require authorization for an evaluation, even though services are billed to the OACC?

Any help is greatly appreciated!

Arian Luna

Transplant Financial Coordinator

The Kidney Center

Driscoll Children's Hospital

3533 S. Alameda

Corpus Christi, Texas 78411

Ph:

Fax:

Email: arian.luna@...

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