Prior Auth Required

99213 - • Office or other outpatient services: CPT codes through and

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service• Office or other outpatient services: CPT codes through and
Procedure / Service Description

approved TAR for medical necessity. TARs may be submitted after the service is - preceding six (6) months prior to the claim for HCPCS code G0019, and the initiating visit must be billed with one of the following: • Office or other outpatient services: CPT codes 99203 through 99205 and 99213 through 99215 • Home or residence services: CPT codes 99342, 99344 through 99345, and 99348

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.