Prior Auth Required

99497 - Advance Care Planning Including The Explanation And One time per day up to

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceAdvance Care Planning Including The Explanation And One time per day up to
Procedure / Service Description

Conditions - Following Required Elements: Multiple (Two Or More) Chronic Conditions 99497 Advance Care Planning Including The Explanation And One time per day up to Discussion Of Advance Directives Such As Standard Forms (With two times per month Completion Of Such Forms, When Performed), By The Physician per member

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.