Prior Auth Required

99357 - Prolonged Service In The Inpatient Or Observation Setting, Six times per day per

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceProlonged Service In The Inpatient Or Observation Setting, Six times per day per
Procedure / Service Description

Established Patient member - 99356 Prolonged Service In The Inpatient Or Observation Setting, One time per day per Requiring Unit/Floor Time Beyond The Usual Service; First Hour member 99357 Prolonged Service In The Inpatient Or Observation Setting, Six times per day per Requiring Unit/Floor Time Beyond The Usual Service; Each member Additional 30 Minutes

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.