Prior Auth Required

99381 - New patient, infant evaluation

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceNew patient, infant evaluation
Procedure / Service Description

Prevention New Patient - 99215 Comprehensive history and exam; high complexity; 40 minutes Prevention New Patient 99381 New patient, infant evaluation 99382 Early childhood, age 1 to 4 years old 99383 Late childhood, age 5 to 11 years old

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.