Prior Auth Required

99451 - E-Consultations

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceE-Consultations
Procedure / Service Description

Service Code - Consultations: Office or other outpatient 99242– 99255 (Initial or follow-up), Inpatient, and confirmatory E-Consultations 99451 Required Modifier 95 modifier required for all CPT-Codes except Transmission Cost codes

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.