Prior Auth Required

99252 - Consultations: Office or other outpatient

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceConsultations: Office or other outpatient
Procedure / Service Description

Service Code - (new or established patient) Licensed Provider Fee 99202– 99215 Consultations: Office or other outpatient 99242– 99255 (Initial or follow-up), Inpatient, and confirmatory E-Consultations 99451

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.