Prior Auth Required

99429 - with U5 modifier and diagnosis code Z00.121 or Z00.129

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicewith U5 modifier and diagnosis code Z00.121 or Z00.129
Procedure / Service Description

intermediate oral evaluation and fluoride varnish application before providing these services. - (99381, 99382, 99391, or 99392). • OEFV must be billed concurrently with a THSteps medical checkup utilizing CPT code 99429 with U5 modifier and diagnosis code Z00.121 or Z00.129. • Documentation must include all components of the OEFV.

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.