Prior Auth Required

98961 - Education and training for patient self-management by a qualified, nonphysician health care

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceEducation and training for patient self-management by a qualified, nonphysician health care
Procedure / Service Description

Code Description - caregiver/family) each 30 minutes; individual patient 98961 Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30 minutes; 2-4 patients

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.