97130 prior authorization | Anthem Blue Cross Blue Shield of Georgia

97130, Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on- one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code

97130

Description

Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schedules, initiating, organizing, and sequencing tasks), direct (one-on- one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure)

Source

Standard Local Prior Authorization Code List, Pg 61 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization