Prior Auth Required

99439 - Chronic care management services with the following required One time per day per

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceChronic care management services with the following required One time per day per
Procedure / Service Description

Established Patient member - 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 elements: multiple (two or more) chronic conditions expected to member last at least 12 months, or until the death of the patient, chronic

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.