Prior Auth Required

99489 - Complex Chronic Care Management Services, With The One time per day per

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceComplex Chronic Care Management Services, With The One time per day per
Procedure / Service Description

Significant Risk - Death Of The Patient; Chronic Conditions Place The Patient At Significant Risk 99489 Complex Chronic Care Management Services, With The One time per day per Following Required Elements: Multiple (Two Or More) Chronic member Conditions Expected To Last At Least 12 Months, Or Until The

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.