Prior Auth Required

99211 - EP Service provided as part of , , HealthCheck nursing

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceEP Service provided as part of , , HealthCheck nursing
Procedure / Service Description

Modifier Description Allowable procedure Allowable providers - follow up visit for diagnostic or nursing agencies. corrective treatment EP Service provided as part of 99211-99215, T1002, HealthCheck nursing [follow-up to] Medicaid early T1029, T1017, and agencies only periodic screening diagnosis T1016

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.