0175T prior authorization | Peach State Health Plan

0175T: Telehealth (calls, online communication, remote monitoring). Imported Peach State Health Plan source reference; confirm plan-specific review requirements in the original document. Not a coverage or referral decision.

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We'll verify benefits and check if CPT Code 0175T is identified as requiring a prior authorization

Code: 0175T
Description: Telehealth (calls, online communication, remote monitoring)
Source: CMS Final Rule 0057-F Prior Authorization Requirements, Pg 18 Original policy

Peach State Health Plan prior authorization

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