Prior Auth Required

99212 - 3. Must be billable under CPT codes through

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service3. Must be billable under CPT codes through
Procedure / Service Description

2. Services vary in duration and content depending on circumstances; and - 1. MAT management; 2. Services vary in duration and content depending on circumstances; and 3. Must be billable under CPT codes 99212 through 99215. Services for each member entering the program must receive prior authorization from the Alliance, and otherwise be considered covered services under the provider’s Primary Care Physician Services Agreement to

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.