Prior Auth Required

99203 - CDPHP will not separately reimburse for evaluation and management codes (

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceCDPHP will not separately reimburse for evaluation and management codes (
Procedure / Service Description

educator will submit a consult report of education services to the physician managing the - G0109. Codes G0108 and G0109 are to be billed in increments of 30 minutes per unit. CDPHP will not separately reimburse for evaluation and management codes (99202-99239, 99281-99359) in conjunction with diabetes education (G0108, G0109, S9465) when billed by the same provider for the same date of service.

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.