Prior Auth Required

99309 - Initial Nursing Facility Care, Per Day, For The Evaluation And One time per day per

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceInitial Nursing Facility Care, Per Day, For The Evaluation And One time per day per
Procedure / Service Description

Management Of An Established Patient member - 99242-99245 Office Consultation For A New Or Established Patient One time per day per member 99304-99310 Initial Nursing Facility Care, Per Day, For The Evaluation And One time per day per Management Of A Patient member

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.