98967 CPT® code: payer coverage and prior authorization1 of 1 payer prior-auth lists that name 98967 require prior authorization or set conditions: Rocky Mountain Health Plans.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Rocky Mountain Health Plans | Rocky Mountain Individual Exchange behavioral health | CO | prior auth required | Jan 1, 2024 | This list indicates the inpatient and outpatient behavioral health services requiring prior authorization for Individual Exchange plan* members in Colorado. This applies to services provided by partic |
Prior authorization required or conditional in IN.
From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.