Prior Auth Required

99509 - Custodial care ( ) or rest cures and services rendered for the convenience of an enrollee

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceCustodial care ( ) or rest cures and services rendered for the convenience of an enrollee
Procedure / Service Description

EXCLUSIONS - EXCLUSIONS Custodial care (99509) or rest cures and services rendered for the convenience of an enrollee or provider. Care is considered custodial when it is primarily for the purpose of helping the member with daily living or meeting personal needs and could be provided safely and

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.