Prior Auth Required
99500 - prenatal or postnatal home health care nurse ( , ) visit when the woman may derive
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / Serviceprenatal or postnatal home health care nurse ( , ) visit when the woman may derive
Procedure / Service Description
• Services are considered by CDPHP to be specific, effective, and reasonable for the - In addition, CDPHP, at the network provider’s request, will provide a woman a minimum of one prenatal or postnatal home health care nurse (99500, 99501) visit when the woman may derive medical or psychosocial benefits from such visits. The visit shall identify familial and environmental factors that may produce increased risk to the woman or fetus and the relevant
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.