Prior Auth Required

84999 - Any information that would assist in determining the service rendered. For example, is an

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceAny information that would assist in determining the service rendered. For example, is an
Procedure / Service Description

following information with an unlisted CPT/HCPCS procedure code on the claim form - - A full, detailed description of the service provided. - A report, such as an operative report or a plan of treatment. - Any information that would assist in determining the service rendered. For example, 84999 is an unlisted lab code that would require additional explanation. • Provider administered drugs that do not have specific HCPCS code (J3490 through J3999) and any

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.