Prior Auth Required

99397 - 65 years and older

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Service65 years and older
Procedure / Service Description

Prevention Established Patient - 99395 18 to 39 years 99396 40 to 64 years 99397 65 years and older Other Evaluation and Management 99417 Prolonged Physician Service; Office or Outpatient setting; each additional 15 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.