Prior Auth Required

99354 - Prolonged Physician Service; Office or Outpatient setting; first hour

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceProlonged Physician Service; Office or Outpatient setting; first hour
Procedure / Service Description

Other Evaluation and Management - Other Evaluation and Management 99417 Prolonged Physician Service; Office or Outpatient setting; each additional 15 minutes 99354 Prolonged Physician Service; Office or Outpatient setting; first hour 99355 Prolonged Physician Service; Office or Outpatient setting; each additional 30 minutes Emergency Room

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.