Prior Auth Required

99204 - 5. Must be billable under CPT codes or

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Service5. Must be billable under CPT codes or
Procedure / Service Description

Initial Visit - 3. Development of a plan of care regarding MAT; 4. Communications and follow-up with the Alliance regarding the member’s condition; and 5. Must be billable under CPT codes 99204 or 99205. Follow-Up Visits 1. MAT management;

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.