Prior Auth Required

99225 - Initial hospital care or subsequent hospital care

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceInitial hospital care or subsequent hospital care
Procedure / Service Description

Service Code - Transmission Cost T1014 (per minute for maximum of 90 min. per patient) Initial hospital care or subsequent hospital care 99221 – 99233 (new or established patient) Licensed Provider Fee 99202– 99215

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.