Prior Auth Required

99359 - Prolonged Evaluation And Management Service Before And/or One time per day per

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceProlonged Evaluation And Management Service Before And/or One time per day per
Procedure / Service Description

Established Patient member - Additional 30 Minutes 99358-99359 Prolonged Evaluation And Management Service Before And/or One time per day per After Direct Patient Care; First Hour member 99439 Chronic care management services with the following required One time per day per

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.