Prior Auth Required

99203 -  –OB/GYN Consult  - Well W omen Exam (Annual) – Age 18-39  - Well W omen Exam (Annual) – Age >65

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service –OB/GYN Consult  - Well W omen Exam (Annual) – Age 18-39  - Well W omen Exam (Annual) – Age >65
Procedure / Service Description

Service Type - Phone Service Type:  99203 –OB/GYN Consult  99395 - Well W omen Exam (Annual) – Age 18-39  99397 - Well W omen Exam (Annual) – Age >65  99213 - OB/GYN Follow-up  99396 - Well W omen Exam (Annual) – Age 40-64

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.