Prior Auth Required

99483 - CPT Code Comprehensive diagnostic evaluation and management (E&M) of a patient who

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCPT Code Comprehensive diagnostic evaluation and management (E&M) of a patient who
Procedure / Service Description

Billing Code Description - CPT Code 1494F Only applicable for members 65 years of age and older without Medicare coverage. CPT Code 99483 Comprehensive diagnostic evaluation and management (E&M) of a patient who exhibits signs and/or symptoms of cognitive impairment to establish or confirm a diagnosis, etiology, or severity of the condition.

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.